Document Detail


Left ventricular aneurysm that grew to rupture.
MedLine Citation:
PMID:  20439302     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the case of a 47-year-old man who presented with asymptomatic ischemic cardiomyopathy. His left ventricular end-diastolic volume (EDV) measured 302 ml, ejection fraction (EF) was 30%, and a large akinetic area with no typical aneurysm was present. He was managed medically but within three years his ventricle remodeled, developed an aneurysm and ruptured. He was operated on using our own modification of the Dor/Menicanti method and autoseptoplasty with no patch. The operation decreased EDV from 950 ml to 205 ml and improved EF from 5% to 55%. In addition, the ventricle became conical with no akinetic segments. This case shows that in some patients surgical ventricular reconstruction may be unavoidable. Good quality of proximal segments ensures a favorable outcome of surgery even in extremely enlarged ventricles with very low EF. The surgical technique presented may be used in cases of grossly enlarged ventricles.
Authors:
Marek A Deja; Marcin Malinowski; Jolanta Biernat; Stanislaw Wos
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-05-03
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  11     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-14     Completed Date:  2010-10-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  196-8     Citation Subset:  IM    
Affiliation:
2nd Department of Cardiac Surgery, Medical University of Silesia, ul. Ziolowa 47, 40-635 Katowice, Poland. mdeja@sum.edu.pl
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Ruptured / etiology*,  physiopathology,  surgery,  ultrasonography
Cardiac Surgical Procedures
Cardiomyopathies / etiology*,  physiopathology
Heart Aneurysm / etiology*,  physiopathology,  surgery,  ultrasonography
Heart Ventricles / physiopathology
Humans
Male
Middle Aged
Myocardial Ischemia / complications*,  physiopathology
Stroke Volume
Treatment Outcome
Ventricular Function, Left
Ventricular Remodeling

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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