Background/aim: Left ventricular aneurysms are complications following acute myocardial infarction. Left posterior left ventricular aneurysms occurring in a submitral position constitute a minor entity, and those leaving the mitral apparatus intact are extremely rare.
Case Report: Herein, we report the case of a 58-year-old patient with a past medical history of coronary artery disease and myocardial infarction with a giant left posterior left ventricular aneurysm with moderate mitral valve incompetence.
Results: The patient underwent myocardial revascularization and, through a transaneurysmal approach, successful endoventricular pericardial patch wall reconstruction with no impact on mitral valve competence.
Conclusion: Whenever the mitral valve is not affected, a trans aneurysmal approach with endoventricular pericardial patch in association with myocardial revascularization represents a safe and reproducible approach with good functional outcomes.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8193276 | PMC |
| http://dx.doi.org/10.21873/invivo.12455 | DOI Listing |
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Background/aim: Left ventricular aneurysms are complications following acute myocardial infarction. Left posterior left ventricular aneurysms occurring in a submitral position constitute a minor entity, and those leaving the mitral apparatus intact are extremely rare.
Case Report: Herein, we report the case of a 58-year-old patient with a past medical history of coronary artery disease and myocardial infarction with a giant left posterior left ventricular aneurysm with moderate mitral valve incompetence.
Use of Omental Flap for Treating Cardiocutaneous Fistula After Ventricular Aneurysm Repair.
Ann Thorac Surg
August 2020
Department of Cardiothoracic Surgery, Mayo Clinic Florida, Jacksonville, Florida. Electronic address:
Infection of an endoventricular patch used for left ventricular aneurysm repair with formation of cardiocutaneous fistula is a rare but potentially serious complication. We report an adult patient who developed a cardiocutaneous fistula 1 year after repair of a third left ventricular aneurysm. The patient was successfully treated with a redo operation using a bovine pericardial patch with omental flap coverage.
View Article and Find Full Text PDFLarge left ventricular pseudoaneurysm and spontaneous recanalized coronaries.
Ann Card Anaesth
July 2016
Department of Anaesthesiology and Critical Care, JIPMER, Puducherry, India.
35 year old with ruptured lateral wall of Left ventricle (LV) resulting in large pseudo aneurysm contained within the pericardium [Figure 1]. There was free flow of blood between the LV and pseudoaneurysm .He underwent endoventricular patch plasty of the defect after opening the wall of aneurysm [Figure 2].
View Article and Find Full Text PDFAortic valve replacement combined with the endoventricular patch technique for aortic valve stenosis complicated by ischemic heart disease.
Ann Thorac Cardiovasc Surg
April 2012
Department of Thoracic and Cardiovascular Surgery, Tottori Prefectural Central Hospital, 730 Ezu, Tottori, Japan.
Article Synopsis
- Aortic valve replacement (AVR) and left ventricular (LV) plasty for aortic valve stenosis (AS) with ischemic heart disease is a debated treatment option.
- An 82-year-old woman with severe heart failure (NYHA class III) due to AS and ischemic heart disease successfully underwent AVR along with endoventricular patch repair.
- Post-surgery, she had an uneventful recovery and has maintained a stable heart condition, now classified as NYHA class I, for about 5 years.
Resizable ventricular patch plasty in the porcine left ventricle: a pilot study.
Innovations (Phila)
January 2010
From the *University of Leiden, Leiden, The Netherlands; †Experimental and Clinical Cardiothoracic Surgery, University Hospital Utrecht, Utrecht, The Netherlands; ‡Department of Cardiology, University Hospital Utrecht, Utrecht, The Netherlands; and §Department of Cardio-Thoracic Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
Objective: : Endoventricular circular patch plasty is a method used to reconstruct the ventricular cavity in patients with (post) ischemic left ventricular aneurysm or global dilatation. However, late redilatation with mitral regurgitation has been reported, in which postoperative apex shape seems to play an important role. We studied the feasibility of ventricular volume downsizing with a variably shaped patch in porcine hearts.
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