Left Ventricular Function at Rest and During Exercise Before and After Surgical Treatment of Ischemic Heart Disease, Left Ventricular Aneurysm, Aortic Stenosis, and Aortic Incompetence

Author(s):  
V. O. Björk ◽  
A. Henze
2021 ◽  
pp. 1-2
Author(s):  
Odete R. Mingas ◽  
Ondina Fortunato ◽  
Sebastiana Gamboa

Abstract We present a rare and challenging case of left ventricular aneurysm in an African child with no history of previous infection or trauma, admitted for surgical treatment, who presented non reversible cardiorespiratory arrest with cardiorespiratory resuscitation before surgery.


2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Akshay J Patel ◽  
Saifullah Mohamed ◽  
Yassir Iqbal ◽  
Ashok Kar ◽  
Gopal Soppa

Abstract Ischaemic heart disease and aortic stenosis are potentially life-threatening conditions. A post-infarct left ventricular aneurysm, when combined with the above, is particularly hazardous. We present a case where all three conditions occurred simultaneously and describe the surgical approach undertaken to attempt correction. The patient underwent aneurysmectomy together with aortic valve replacement and two-vessel coronary artery bypass grafting. The aneurysm was excised with direct linear closure of the walls using a Teflon-buttressed interrupted mattress suture technique. Post-operatively, ventricular systolic function was good (LVEF 40%) together with a well-seated aortic valve showing no paravalvular leaks. This case highlights the importance of meticulous removal of thrombus from the aneurysm and everting the edges thereby eliminating a thrombogenic surface and the risk of embolic stroke. The restorative procedure itself serves to underline the importance of ventricular shape in the effective functioning of the myocardium for sustaining an adequate stroke volume with normalized physiology.


1985 ◽  
Vol 90 (6) ◽  
pp. 818-832 ◽  
Author(s):  
J. Scott Rankin ◽  
Glenn E. Newman ◽  
Lawrence H. Muhlbaier ◽  
Victor S. Behar ◽  
John M. Fedor ◽  
...  

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