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Geometric reconstruction of the left ventricle on a beating heart through a minimally invasive approach from the left anterolateral thoracotomy: case report.
Front Cardiovasc Med
December 2024
Bakulev Scientific Center for Cardiovascular Surgery, Moscow, Russia.
Despite the widespread use of mini-invasive treatment methods in cardiac surgery, their use in post-infarction myocardial aneurysms of the left ventricle is not of frequent occurrence. In this clinical case, we used left anterolateral thoracotomy and "eating heart" technique to correct the post-infarction left ventricle aneurysm with ventricular thrombosis using the Dor method in a 66-year-old patient. This technique created opportunity to perform safely and effective the planned reconstruction of the left ventricle with less trauma, as well as to ease the postoperative course and recovery of the patient, reduce hospitalization time.
View Article and Find Full Text PDFComparative Analysis of Basal vs. Apical Left Ventricular Aneurysms: Impact on Ejection Fraction and Cardiac Function.
Medicina (Kaunas)
September 2024
Cardiovascular Institute "Dedinje", 11040 Belgrade, Serbia.
: Left ventricular aneurysm (LVA) is associated with a decline in cardiac function, evidenced by a lower ejection fraction (EF), due to the reduction in the proportion of functional myocardium. The left ventricular end-diastolic volume (LVEDV), the left ventricular aneurysm volume (LVAV), and the LVAV/LVEDV ratio show a strong correlation with the EF. The aim of this study was to determine LVA characteristics post-myocardial infarction (basal vs.
View Article and Find Full Text PDFSurgical Repair of Postinfarction Left Ventricular Pseudoaneurysm.
Tex Heart Inst J
October 2024
Department of Cardiovascular and Thoracic Surgery, Jeonbuk National University Hospital, Jeonbuk National University College of Medicine, Jeonju-si, Republic of Korea.
Left ventricular pseudoaneurysm is a serious and rare disorder that usually develops after acute myocardial infarction. It can lead to potentially lethal mechanical complications, such as acute left ventricular free wall rupture. This report presents the case of a 64-year-old man with a left ventricular pseudoaneurysm and myocardial rupture that was managed by left ventricular restoration with aneurysmectomy and coronary artery bypass with 2 grafts.
View Article and Find Full Text PDFOverlooked Ventricular Septal Defect Post-Myocardial Infarction and Coronary Artery Bypass Grafting.
Clin Med Insights Case Rep
September 2024
Clinic of Cardiology, University Clinical Center of Kosova, Pristina, Kosovo, Albania.
Ventricular septal defect (VSD) represents a severe complication that may manifest after a myocardial infarction (MI), typically occurring between 2 and 7 days later. Due to advancements in reperfusion management, the incidence of VSDs after MI has become very rare, occurring in approximately 0.2% of MIs.
View Article and Find Full Text PDF[Percutaneous treatment of post-acute myocardial infarction mechanical complications: state of the art].
G Ital Cardiol (Rome)
September 2024
Dipartimento di Scienze Biomediche per la Salute, Università degli Studi, Milano - U.O. Cardiochirurgia Universitaria e Ricerca Traslazionale, IRCCS Policlinico San Donato, San Donato Milanese (MI).
Left ventricular free wall rupture, ventricular pseudoaneurysm, papillary muscle rupture and ventricular septal rupture are life-threatening mechanical complications of acute myocardial infarction. Despite significant improvements over the last decades in overall mortality for patients with myocardial infarction, the outcome of subjects who develop post-infarction mechanical complications remains poor. Surgical treatment is considered the standard of care.
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