"Surgical treatment of a giant left ventricular aneurysm- A case report"

Abstract

An aneurysm of the left ventricle is a complication of acute myocardial infarction. We report a case of a giant aneurysm of the left ventricle after myocardial infarction in a 59 year-old male patient. The surgery to correct the aneurysm was performed with the use of cardiopulmonary bypass under normothermia. A bovine pericardial patch was used for the geometric reconstruction of the ventricular wall affected by the aneurysm. After the procedure, echocardiography and magnetic resonance imaging revealed improvement in left ventricular ejection fraction and volume reduction.

That’s No Moon, It’s a Giant Left Ventricular Aneurysm: A Case Report and Literature Review

“…With the improvement of medical therapy for ischemic disease and earlier interventions such as PCI, LVA is becoming increasingly rare [Khanna 2020;Olearchyk 1984]. Especially because the majority of small and moderately sized LVAs are clinically silent, surgical treatment for LVAs is uncommon [Schaitza 2014]. We describe a case report and literature review of giant LVAs in a patient, who presented with unclear etiology.…”

Successful Surgical Treatment of a Giant Left Ventricular Aneurysm

“…Left ventricular aneurysm and myocardial infarction scar predispose the heart to ventricular arrhythmias [6], this being a surgical indication [7].…”

“…As a compensatory response of myocardial remaining tissue, the left ventricle passes through a remodeling cardiac process that will cause left ventricular dilatation and EF decrease [8] with congestive heart failure and increased incidence of ventricular arrhythmias followed by death [7].…”