Left Ventricular Aneurysm Repair
M. Henry, Ourania Preventza, Denton A. Cooley, I Kim, Joseph S. Coselli
Abstract
M. Henry, Ourania Preventza, Denton A. Cooley, I Kim, Joseph S. Coselli
Abstract
Left ventricular aneurysm, which can impair systolic function, has a reported incidence of 10% to 35% in patients after myocardial infarction. In a 58-year-old woman who had a history of myocardial infarction, we excised a large left ventricular aneurysm and restored left ventricular geometry with use of a bovine pericardial patch. The aneurysm's characteristics and the patient's preoperative left ventricular ejection fraction of 0.25 had indicated surgical intervention. The patient had an uneventful postoperative course, and her left ventricular ejection fraction was 0.50 to 0.55 on the 4th postoperative day. This case illustrates the value of surgical treatment for patients who have a debilitating left ventricular aneurysm. (Tex Heart Inst J 2014;41(4):407-10)
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Left ventricular aneurysm, which can impair systolic function, has a reported incidence of 10% to 35% in patients after myocardial infarction. In a 58-year-old woman who had a history of myocardial infarction, we excised a large left ventricular aneurysm and restored left ventricular geometry with use of a bovine pericardial patch. The aneurysm's characteristics and the patient's preoperative left ventricular ejection fraction of 0.25 had indicated surgical intervention. The patient had an uneventful postoperative course, and her left ventricular ejection fraction was 0.50 to 0.55 on the 4th postoperative day. This case illustrates the value of surgical treatment for patients who have a debilitating left ventricular aneurysm. (Tex Heart Inst J 2014;41(4):407-10)
Key concepts: Left Ventricular Aneurysm, Medicine, Cardiology, Ventricular aneurysm, Ejection fraction, Aneurysm, Internal medicine, Myocardial infarction