Amplatzer device deployment for saccular aortic arch aneurysm: a note of caution.

Amplatzer septal occluder devices (AGA Medical Corporation, Plymouth, MN) have been used in the treatment of saccular and aortic false aneurysms.1,2 We have reservations about the long-term reliability of this approach. A 62-year-old man, who was a heavy smoker and had arteriopathy, was under regular surveillance for chronic obstructive airways disease and bullous emphysema. He had previously undergone abdominal aortic aneurysm resection (1997) with prolonged postoperative respiratory support. Subsequently, a huge circumflex coronary aneurysm (5.9 5.0 cm, Figure 1A) caused lateral myocardial infarction (2005) and an enlarging saccular arch aneurysm (3.5 cm,