scholarly journals The Successful Surgical Treatment of a Giant True Left Ventricular Aneurysm: a Case Report

2019 ◽  
Vol 7 (4) ◽  
pp. 372-377
Author(s):  
Y. B. Brand ◽  
M. K. Mazanov ◽  
E. N. Ostroumov ◽  
M. A. Sagirov ◽  
N. I. Kharitonova ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Surgical Treatment ◽  
Left Ventricle ◽  
Ejection Fraction ◽  
Contractile Function ◽  
Left Ventricular ◽  
Left Ventricular Cavity ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm ◽  
Thrombosed Aneurysm

We report the successful surgical treatment of a giant true thrombosed aneurysm of the left ventricle.A 59-year-old male patient Z. was admitted with severe heart failure and chronic thrombosed aneurysm of the left ventricle, formed after acute extensive myocardial infarction, despite successful installation of a stent into the anterior descending artery in the acute period. Echocardiography revealed a significant increase in the volume of the left ventricular cavity, a significant decrease in the contractile function of the left ventricular myocardium (ejection fraction 32-36%), a giant left ventricular aneurysm (9x6 cm) with a parietal lining thrombus in the aneurysm cavity. Coronary angiography showed an aneurysmal dilatation of the circumflex branch of more than 6 mm, hemodynamically significant stenosis of two coronary arteries. According to the scintigraphy, the myocardium beyond the scar tissue was viable. The patient underwent resection of a left ventricular aneurysm, endoventricular plasty (Dor procedure), coronary artery bypass surgery of the circumflex artery and obtuse marginal branch of the left coronary artery.The patient was discharged in satisfactory condition on day 14 after surgery. At follow-up 6 months after surgery, an increase in the ejection fraction to 3941% was noted.

Subvalvular mitral aneurysm a rare pathology

2021 ◽  
pp. 1-2
Author(s):  
Odete R. Mingas ◽  
Ondina Fortunato ◽  
Sebastiana Gamboa
Keyword(s):  
Surgical Treatment ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm ◽  
African Child ◽  
Cardiorespiratory Arrest ◽  
Previous Infection ◽  
History Of

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.

scholarly journals A case of left ventricular aneurysm associated with an anomalous coronary artery.

1988 ◽  
Vol 52 (1) ◽  
pp. 79-83 ◽  
Author(s):  
TAKAFUMI HIRO ◽  
MASUNORI MATSUZAKI ◽  
JUNKO HIRO ◽  
MASAHARU OZAKI ◽  
HIROSHI OGAWA ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Anomalous Coronary Artery ◽  
Ventricular Aneurysm ◽  
Anomalous Coronary

scholarly journals Case Study: Using 3D Speckle Tracking Echocardiography for Left Ventricular Aneurysm Diagnosis

2020 ◽  
pp. 90-95
Author(s):  
O. A. Mazur ◽  
L. M. Hrubyak ◽  
O. V. Kupchynskyi ◽  
N. V. Bankovska
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Left Ventricular ◽  
Left Ventricular Geometry ◽  
Left Ventricular Aneurysm ◽  
Apical Region ◽  
Ventricular Aneurysm

Nowadays magnetic resonance imaging (MRI) is a gold standard for diagnosing abnormalities of left ventricular geometry and function, however, it is not universally accessible. Furthermore, MRI is not compatible with pacemakers and similar devices. 3D speckle tracking echocardiography (3D STE) is a cutting-edge echocardiography imaging technique for myocardial deformation assessment. As such, 3D STE looks very promising for diagnosing structural complications of myocardial infarction (MI) and choosing the optimal surgical techniques. In this case study, we used 3D STE to assess left ventricular function in a patient with left ventricular aneurysm. The patient was admitted to National Amosov Institute of Cardiovascular Surgery three weeks after having a second MI (the first MI was reported 4 years ago). His coronary angiography showed diffuse coronary artery disease. 2D echocardiography (performed on Toshiba Artida) results: end-diastolic volume (EDV) 206 ml, end-systolic volume (ESV) 141 ml, ejection fraction (EF) (Simpson’s method) 31%. An object sized 2.2*1.6 cm was discovered in the apical region (left ventricular thrombus). 3D STE results: EDV 209 ml, ESV 182 ml, EF 13%. Global area strain (GAS) was considerably decreased (–13.7 %) showing the pattern of ischemic cardiomyopathy with multivessel disease. Due to several reasons, it was impossible to obtain an MRI scan, so a CT coronary angiography was performed (Toshiba Aquilion One). The results of multi-slice computed tomography (MSCT) were consistent with those of echocardiography. According to the results, the initial plan to resect the apical akinesia region was ruled out. The patient underwent coronary artery bypass grafting (CABG) (4 shunts), the removal of thrombi from the left ventricle (additional fresh thrombi were discovered during the surgical intervention), and left ventricular aneurysm repair under cardiopulmonary bypass. Post-treatment 3D STE results: EDV dropped to 135 ml, EF rose from 13% to 32%. GAS increased up to –20.4 %, while the strains of all segments increased to subnormal levels. The overall dynamics was positive, and the patient was discharged to undergo postoperative rehabilitation. The case shows that 3D STE data is consistent with CT data in patients with abnormal ventricular remodeling. 3D STE is a good method for differentiation between akinetic scar tissue and a dyskinetic left ventricular aneurysm.

scholarly journals A combined approach to correct posterior left ventricular aneurysm, aortic stenosis and coronary artery disease

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Akshay J Patel ◽  
Saifullah Mohamed ◽  
Yassir Iqbal ◽  
Ashok Kar ◽  
Gopal Soppa
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Stenosis ◽  
Systolic Function ◽  
Artery Bypass ◽  
Left Ventricular ◽  
Suture Technique ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm ◽  
Mattress Suture

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.

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