Transapical coil embolization for subannular aortic pseudoaneurysm

Aortic pseudoaneurysm is a rare but life-threatening complication following aortic surgery. Although surgical repair remains the gold standard for treatment, alternative approaches such as transcatheter strategies are increasingly considered viable options, particularly in patients with high surgical risk due to comorbidities, anatomical challenges or technical constraints. We present the case of a 72-year-old male patient who developed a subaortic pseudoaneurysm during radiological follow-up after a previous Bentall operation. Given the high surgical risk, our multidisciplinary heart team opted for coil embolization via a transapical approach. The objective of this work was to present a step-by-step explanation of the transapical embolization with the coil as a landmark for all surgeons who want to perform it.