True acquired left ventricular aneurysms in childhood
M A Long1, J Hough, W J De Vries
1Department of Cardiothoracic Surgery, Faculty of Health Sciences, University of the Orange Free State, Bloemfontein, South Africa.
The Journal of Cardiovascular Surgery
|January 22, 2004
Summary
Pediatric true left ventricular aneurysms can be successfully repaired using standard surgical techniques. These interventions offer excellent short-term outcomes for children with this rare condition.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Surgery
- Pediatric Cardiac Surgery
Background:
- True left ventricular aneurysms are rare in children.
- Etiological factors are diverse and often unclear.
- Limited literature exists on surgical repair techniques for pediatric aneurysms.
Purpose of the Study:
- To describe surgical repair techniques for pediatric true left ventricular aneurysms.
- To report clinical outcomes and follow-up data for affected children.
Main Methods:
- Surgical repair of true left ventricular aneurysms in three children (aged 19 months to 5 years).
- Utilized Cooley endoaneurysmorraphy and aneurysm resection with linear plication techniques.
- Included clinical details, surgical procedures, histological review, and short-term follow-up.
Main Results:
- Two patients underwent Cooley endoaneurysmorraphy; one had aneurysm resection and plication.
- Histology revealed tuberculosis in one case, vasculitis in two.
- All patients had uneventful postoperative courses, were discharged within a week, and remained asymptomatic at 1-year follow-up with improved left ventricular function and resolved mitral regurgitation.
Conclusions:
- Standard surgical techniques are effective for repairing pediatric left ventricular aneurysms.
- These methods provide excellent short-term results.
- Longer follow-up is necessary for complete outcome evaluation.
Related Concept Videos
01:22Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
01:15Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...