Repair of left ventricular pseudoaneurysm with the triple patch technique (Empanada Patch)
Haytham Elgharably1, Michael S Halbreiner1, Paul Shoenhagen2
1Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
Interactive Cardiovascular and Thoracic Surgery
|October 16, 2015
Summary
Left ventricular pseudoaneurysm, a rare myocardial infarction complication, necessitates urgent repair to prevent fatal rupture. This case highlights successful surgical repair using a novel
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery
- Cardiology
Background:
- Left ventricular pseudoaneurysm (LVPA) is a rare, life-threatening complication following myocardial infarction.
- Rupture of LVPA can lead to unpredictable and fatal outcomes, necessitating prompt intervention.
- Standard surgical repair aims to exclude the pseudoaneurysm while preserving left ventricular geometry.
Observation:
- A case of inferobasal left ventricular pseudoaneurysm was successfully treated.
- The patient required surgical intervention to address the pseudoaneurysm.
Findings:
- A modified triple patch technique, termed the 'Empanada Patch,' was employed for surgical repair.
- This technique successfully excluded the aneurysmal area and preserved left ventricular geometry.
Implications:
- The 'Empanada Patch' technique offers a viable surgical option for complex left ventricular pseudoaneurysms.
- Successful repair can prevent catastrophic rupture and improve patient outcomes.
- Further research may explore the broader applicability of this modified surgical approach.
