Reconstruction of the left ventricle after previous aneurysmectomy.
Two patients recently underwent successful repeat left ventricular anterior aneurysmectomies at our institution. Both patients had undergone a linear repair at first operation. Over time severe heart failure relapsed and echocardiography revealed the recurrence of a voluminous antero-septo-apical aneurysm in both cases, associated with severe mitral regurgitation. Because of still preserved motion of at least three of the basal segments of the left ventricle, a repeat ventriculoplasty according to Dor and a restrictive mitral valve annuloplasty was attempted. At 6-month follow-up, the patients were in the New York Heart Association functional class I and II, respectively. Left ventricular end-diastolic diameters decreased from 73 mm to 67 mm and from 81 mm to 52 mm, and left ventricular end-systolic diameters from 61 mm to 54 mm and from 70 mm to 34 mm. Mitral regurgitation was absent.
Department of Cardiothoracic Surgery Leiden, The Netherlands.
Arjun D
AD
Koch
Eduard R
ER
Holman
Michel I M
MI
Versteegh
Robert J M
RJ
Klautz
Suresh T
ST
Somer
Jeroen J
JJ
Bax
Robert A E
RA
Dion
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods; D006322:Heart Aneurysm / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D012008:Recurrence; D012086:Reoperation