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Updated: Nov 7, 2025

Patch Angioplasty in the Rat Aorta or Inferior Vena Cava
Published on: February 27, 2017
Endoventricular Pericardial Patch Repair of a Giant Left Posterior Ventricular Aneurysm
Ovidiu Stiru1,2, Roxana Carmen Geana1, Reza Nayyerani1
1Emergency Institute for Cardiovascular Diseases "Prof. Dr. C.C. Iliescu", Bucharest, Romania.
Background/Aim:
Left ventricular aneurysms are complications following acute myocardial infarction. Left posterior left ventricular aneurysms occurring in a submitral position constitute a minor entity, and those leaving the mitral apparatus intact are extremely rare.
Case Report:
Herein, we report the case of a 58-year-old patient with a past medical history of coronary artery disease and myocardial infarction with a giant left posterior left ventricular aneurysm with moderate mitral valve incompetence.
Results:
The patient underwent myocardial revascularization and, through a transaneurysmal approach, successful endoventricular pericardial patch wall reconstruction with no impact on mitral valve competence.
Conclusion:
Whenever the mitral valve is not affected, a trans aneurysmal approach with endoventricular pericardial patch in association with myocardial revascularization represents a safe and reproducible approach with good functional outcomes.
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