Postoperative recurrence of postinfarction true and false ventricular aneurysms

Area of Science:

• Cardiovascular Surgery
• Cardiac Surgery
• Cardiology

Background:

• Progressive dyspnea post-myocardial infarction can indicate left ventricular (LV) dysfunction or left ventricular aneurysm (LVA).
• Surgical repair of LVA aims to reduce volume and restore ventricular function.
• Reoperative surgery for LVA is challenging due to LV dysfunction and adhesions.

Observation:

• Recurrence of LVA after repair is uncommon.
• Concomitant true and false aneurysms are exceptionally rare.
• This report describes a patient with simultaneous recurrent true and false LVA post-infarction repair.

Findings:

• The patient underwent surgical repair for a recurrent true and false LVA.
• The surgery was performed despite pre-existing LV dysfunction and adhesions.
• The patient remained alive and healthy five years post-operation.

Implications:

• This case highlights the possibility of simultaneous true and false LVA recurrence.
• It demonstrates the feasibility of complex reoperative cardiac surgery for LVA.
• Successful outcomes are achievable even in extraordinary reoperative scenarios.