| Left ventricular aneurysm that grew to rupture. | |
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MedLine Citation:
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PMID: 20439302 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Marek A Deja; Marcin Malinowski; Jolanta Biernat; Stanislaw Wos |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-05-03 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 11 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-14 Completed Date: 2010-10-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 196-8 Citation Subset: IM |
Affiliation:
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2nd Department of Cardiac Surgery, Medical University of Silesia, ul. Ziolowa 47, 40-635 Katowice, Poland. mdeja@sum.edu.pl |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, Ruptured
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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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