Ventricular endoaneurysmorrhaphy: a simplified repair for extensive postinfarction aneurysm

We recently repaired six large ventricular aneurysms using a technique that emphasizes restoring function rather than excising diseased tissue, or endoaneurysmorrhaphy. An elliptical woven Dacron patch is tailored to fit the defect in the left ventricular wall, making the length and width conform to the normal left ventricular volume. In each of our cases, use of this technique allowed prompt recovery and restoration of ventricular function.