Document Detail

Reconstruction of the left ventricle after previous aneurysmectomy.
MedLine Citation:
PMID:  16564303     Owner:  NLM     Status:  MEDLINE    
Two patients recently underwent successful repeat left ventricular anterior aneurysmectomies at our institution. Both patients had undergone a linear repair at first operation. Over time severe heart failure relapsed and echocardiography revealed the recurrence of a voluminous antero-septo-apical aneurysm in both cases, associated with severe mitral regurgitation. Because of still preserved motion of at least three of the basal segments of the left ventricle, a repeat ventriculoplasty according to Dor and a restrictive mitral valve annuloplasty was attempted. At 6-month follow-up, the patients were in the New York Heart Association functional class I and II, respectively. Left ventricular end-diastolic diameters decreased from 73 mm to 67 mm and from 81 mm to 52 mm, and left ventricular end-systolic diameters from 61 mm to 54 mm and from 70 mm to 34 mm. Mitral regurgitation was absent.
Arjun D Koch; Eduard R Holman; Michel I M Versteegh; Robert J M Klautz; Suresh T Somer; Jeroen J Bax; Robert A E Dion
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  81     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-03-27     Completed Date:  2006-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1495-7     Citation Subset:  AIM; IM    
Department of Cardiothoracic Surgery Leiden, The Netherlands.
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MeSH Terms
Cardiac Surgical Procedures / methods
Heart Aneurysm / surgery*
Heart Ventricles / surgery*

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

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