Resection of posterior ventricular aneurysm, replacement of mitral valve, and coronary bypass
Insights
A severe myocardial infarction led to heart failure in a 58-year-old man. Surgical intervention for coronary artery disease, left ventricular aneurysm, and mitral insufficiency resulted in a full recovery.
Area of Science:
- Cardiology
- Cardiovascular Surgery
Background:
- A 58-year-old male presented with sudden, progressive heart failure following a severe myocardial infarction.
- Standard medical treatments including diuretics, vasopressors, and digitalis provided no significant improvement.
Abstract:
A 58-year-old man had sudden and progressive heart failure after a severe myocardial infarction. Aggressive medical treatment consisting of diuretics, vasopressors, and digitalis failed to improve his condition significantly. Cardiac catheterization disclosed a critical stenosis in the left anterior descending branch of the left coronary artery, a large posterior left ventricul aneurysm, and severe mitral insufficiency. Intermittent third degree heart block developed after admission. Surgical correction resulted in a dramatic recovery, and three years after operation he is fully recovered and asymptomatic.
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