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Surgical repair of a posterior left ventricular aneurysm in a 4-year-old boy

Takashi Nagase1, Masaaki Yamagishi1, Yoshinobu Maeda1

  • 1Department of Pediatric Cardiovascular Surgery, Children's Medical Center, and Division of Cardiovascular Surgery, Department of Surgery, 12898Kyoto Prefectural University of Medicine, Kyoto, Japan.

Asian Cardiovascular & Thoracic Annals
|July 13, 2022
PubMed

Insights

Pediatric left ventricular aneurysms are rare. Surgical resection and plication successfully treated a 4-year-old boy with a left ventricular aneurysm and mitral regurgitation, leading to good recovery.

Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Surgery
  • Viral Myocarditis

Background:

  • Left ventricular aneurysms (LVAs) are uncommon in children, often presenting with severe complications.
  • Viral infections can trigger inflammatory processes leading to myocardial damage and aneurysm formation.

Observation:

  • A 4-year-old boy presented with severe mitral regurgitation and a posterior left ventricular aneurysm.
  • The aneurysm was suspected to be associated with a preceding viral infection.

Findings:

  • Surgical resection and longitudinal plication of the left ventricular aneurysm were performed using interrupted mattress and continuous over-and-over sutures with felt reinforcement.
  • Postoperatively, mitral regurgitation was significantly reduced to a trivial degree.
  • The patient experienced a good recovery, with no cardiac dysfunction or arrhythmias, and was discharged 31 days after surgery.

Implications:

  • This case highlights the successful surgical management of a rare pediatric left ventricular aneurysm.
  • Appropriate surgical techniques are crucial for pediatric patients with LVAs, considering aneurysm location and extent.
  • Prompt surgical intervention can lead to favorable outcomes in children with complex cardiac conditions.

Keywords:
Myocarditispediatricposterior left ventricular aneurysmsurgical repair

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