[Successful resection of a pseudoaneurysm and reconstruction of the left ventricle following myocardial infarction].
A 56-year-old male experienced an anterolateral myocardial infarction and was readmitted to our department at the age of 57 for treatment of his effortive back pain. A chest X-ray disclosed that his cardiac silhouette was slightly enlarged and he was diagnosed by angiography as having a pseudoaneurysm of the left ventricle. He underwent surgery using ventricular fibrillation. We resected his pseudoaneurysm of the left ventricle, and then we reconstructed his left ventricle with double EPTFE (Gore-Tex patch) supported by his own pericardium. He has received a normal post-operative course and is making satisfactory progress. We believe that left ventricular reconstruction could be recommended for treatment of some left ventricular aneurysm.
Department of Cardiovascular Surgery, Okaya Enrei Hospital, Nagano, Japan.
M
M
Ohhira
T
T
Yamamoto
H
H
Okumura
M
M
Narata
K
K
Akiyama
Y
Y
Sezai
D002315:Cardiopulmonary Bypass; D006322:Heart Aneurysm / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*