Repair of posterior left ventricular aneurysm through transatrial approach.
Repair of posterior left ventricular ischemic aneurysms implies an extracardiac approach to reshape the ventricular geometry frequently associated with mitral surgery. A transatrial technique was described for lesions following mitral surgery or for subvalvular idiopathic cases. A transmitral approach was used for ischemic or traumatic pseudoaneurysm. We describe a case of postinfarction posterior true aneurysm with associated mitral incompetence. Both lesions were treated through an intracardiac approach. The posterior mitral leaflet was detached posteriorly to close the aneurysm with a patch, and the valve replaced sparing all subvalvular apparatus. This technique seems to be safe and allows to treat both lesions avoiding ventriculotomy.
Da Col
Uberto
U
Department of Cardiac Surgery, S Maria della Misericordia Hospital, Perugia, Italy.
Di Bella
Isidoro
I
Ramoni
Enrico
E
Affronti
Alessandro
A
Rossi
Alessia
A
Ragni
Temistocle
T
D000368:Aged; D004452:Echocardiography; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D009203:Myocardial Infarction / Q000150:complications