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Percutaneous closure of pseudoaneurysm with a ventricular septal occluder device was clinically and Introduction With the steady increase in the prevalence of transvenous cardiac rhythm maintenance devices in the general population, the number of patients requiring lead extraction has grown proportionately. Though advances in the tools and techniques used for transvenous lead extraction have decreased the procedural morbidity, there remains a small but significant risk of catastrophic outcomes. We describe a novel, percutaneous approach to management of a complication that would otherwise require sternotomy.