Left Ventricular Aneurysmorrhaphy  

Kothari J. , Baria K. , Brahmbhatt B.
Department of Cardio Vascular and Thoracic Surgery, U.N. Mehta Institute of Cardiology and Research Center, (Affiliated to B.J.Medical College), New Civil Hospital Campus, Asarwa, Ahmedabad, India
Author    Correspondence author
International Journal of Clinical Case Reports, 2015, Vol. 5, No. 46   doi: 10.5376/ijccr.2015.05.0046
Received: 21 Jul., 2015    Accepted: 22 Aug., 2015    Published: 17 Nov., 2015
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This is an open access article published under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Preferred citation for this article:

Kothari J.,Baria K.. and Brahmbhatt B., 2015, Left Ventricular Aneurysmorrhaphy, International Journal of Clinical Case Reports, 5(46) 1-3 (doi: 10.5376/ijccr.2015.05.0046)

Abstract

Left ventricular aneurysm are commonly secondary to coronary artery disease. A postinfarction left ventricular aneurysm is a well delineated transmural fibrous scar, virtually devoid of muscle, in which the characteristic fine trabecular pattern of the inner surface of the wall has been replaced by smooth fibrous tissue. In such areas, the wall is usually thin and both inner and outer surfaces bulge outward. During systole, the involved wall segments are akinetic or dyskinetic.

Patient with history of myocardial infarction with 2 dimensional echocardiography suggestive of left ventricular aneurysm was evaluated with cardiac computerised tomography scan and underwent surgical correction accordingly. We followed this in post-operative period in terms of cardiac computerised tomography scan and improvement in NYHA functional class. Pre-operative cardiac tomography scan proves valuable in planning surgical intervention and surgery done at right time after medical stabilisation proves to be beneficial for the patient.
 

Keywords
Left ventricular aneurysm; Aneurysmorrhaphy
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