Late ventricular structure after partial left ventriculectomy.
Nine months after partial ventriculectomy, a 53-year-old man died of progressive heart failure. His heart was examined to determine the alignment of the muscle fibers around the ventricular scar, which was 11 cm long, 1.3 cm thick and 4 cm wide. The scar reached 2 to 12 mm beyond the surgical suture line. The fibers in the middle and subendocardial layers were malaligned, resulting in convergence, compression and regional necrosis.
Lunkenheimer
P P
PP
University Hospital and Institute of Numerical Mathematics, Münster, Germany. redmann@uni-muenster.de
Redmann
K
K
Cryer
C W
CW
Sánchez-Quintana
D
D
Ho
S Y
SY
Anderson
R H
RH
Batista
R V
RV
D002310:Cardiomyopathy, Alcoholic / Q000601:surgery*; D017809:Fatal Outcome; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018485:Muscle Fibers, Skeletal / Q000473:pathology; D009206:Myocardium / Q000473:pathology; D009336:Necrosis; D011183:Postoperative Complications