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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
PubMed
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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.

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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.