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Surgical treatment of a giant left ventricular aneurysm- a case report

Gustavo Alves Schaitza1, José Rocha Faria Neto2, Julio Cesar Francisco2

  • 1Universidade Federal do Paraná, Curitiba, PR, Brazil.

Revista Brasileira De Cirurgia Cardiovascular : Orgao Oficial Da Sociedade Brasileira De Cirurgia Cardiovascular
|February 26, 2015
PubMed

Insights

A giant left ventricular aneurysm, a complication of myocardial infarction, was successfully repaired using a bovine pericardial patch. Surgical intervention improved the patient's cardiac function, reducing ventricular volume and enhancing ejection fraction.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Case Reports

Background:

  • Left ventricular aneurysm (LVA) is a rare but serious complication following acute myocardial infarction (MI).
  • Giant LVAs pose significant surgical challenges due to their size and associated risks.
  • Geometric reconstruction techniques are crucial for restoring ventricular function.

Observation:

  • A 59-year-old male presented with a giant left ventricular aneurysm post-myocardial infarction.
  • The patient underwent surgical correction of the LVA.
  • Cardiopulmonary bypass under normothermia was employed during the procedure.

Findings:

  • A bovine pericardial patch was utilized for geometric reconstruction of the affected ventricular wall.
  • Post-operative echocardiography and magnetic resonance imaging demonstrated significant improvement.
  • Key findings include enhanced left ventricular ejection fraction and reduced ventricular volume.

Implications:

  • Surgical repair of giant LVAs is feasible and effective.
  • Bovine pericardial patches offer a viable option for ventricular reconstruction.
  • Successful intervention can lead to improved cardiac function and patient outcomes in LVA cases.

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