title: Successful surgical repair of a giant calcified left ventricular aneurysm: a report of a case.
abstract: A 68-year-old man presented at the outpatient clinic with epigastric discomfort. He had suffered a myocardial infarction 10 years previously. Chest radiography and computed tomography showed a giant calcified aneurysm in the left ventricle. Electrocardiography indicated atrial fibrillation. Echocardiography showed moderate mitral regurgitation and enlarged left atrium. End-diastolic volume and ejection fraction were 164 ml and 31%, respectively. Coronary angiography revealed total occlusion of the left anterior descending artery and diffuse stenosis of the right coronary artery. Aneurysmectomy, mitral annuloplasty, maze procedure, and coronary artery bypass were performed. The patient was discharged 16 days postoperatively in a satisfactory condition without complications.
authors.affiliation: Department of Cardiovascular Surgery, Kameda Medical Center, Kamogawa, Chiba, Japan. sugiharu0204@gmail.com
authors.forename: Yukiharu
authors.initials: Y
authors.lastname: Sugimura
authors.forename: Masaaki
authors.initials: M
authors.lastname: Toyama
authors.forename: Masanori
authors.initials: M
authors.lastname: Katoh
authors.forename: Mitsuhisa
authors.initials: M
authors.lastname: Kotani
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kato
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hisamoto
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000209:etiology / Q000601:surgery; D002114:Calcinosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000209:etiology / Q000601:surgery; D004452:Echocardiography; D004562:Electrocardiography; D006322:Heart Aneurysm / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D058386:Mitral Valve Annuloplasty; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery; D011237:Predictive Value of Tests; D013318:Stroke Volume; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016277:Ventricular Function, Left