title: A variant "no-patch" technique for surgery of left ventricular aneurysms.
abstract: A variant "no-patch" technique for the surgical treatment of left ventricular aneurysms is described. The entire operation is performed using a single suture tied after the 2 encircling stitch adjustments and at the final external suture. Before the second encircling pursestring stitch, scar tissue circular plication is carried out. The final closure is completed by an out-out suture that ensures hemostasis. Finally, it is emphasized that the no-patch surgical strategy has the indirect advantage of saving time because the stitches are performed in a continuous manner.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Faculty of Medicine, University of São Paulo, Brazil.
authors.forename: Paulo Roberto B
authors.initials: PR
authors.lastname: Evora
authors.forename: Solange
authors.initials: S
authors.lastname: Bassetto
authors.forename: Lafaiete Alves
authors.initials: LA
authors.lastname: Junior
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006322:Heart Aneurysm / Q000175:diagnosis / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D061646:Operative Time; D013536:Suture Techniques / Q000009:adverse effects; D016896:Treatment Outcome; D014463:Ultrasonography
keywords: Heart aneurysm; heart ventricles; suture techniques