title: Left ventricular aneurysm repair with use of a bovine pericardial patch.
abstract: Left ventricular aneurysm, which can impair systolic function, has a reported incidence of 10% to 35% in patients after myocardial infarction. In a 58-year-old woman who had a history of myocardial infarction, we excised a large left ventricular aneurysm and restored left ventricular geometry with use of a bovine pericardial patch. The aneurysm's characteristics and the patient's preoperative left ventricular ejection fraction of 0.25 had indicated surgical intervention. The patient had an uneventful postoperative course, and her left ventricular ejection fraction was 0.50 to 0.55 on the 4th postoperative day. This case illustrates the value of surgical treatment for patients who have a debilitating left ventricular aneurysm.
authors.affiliation: Division of Cardiovascular Surgery (Drs. Coselli, de la Cruz, Henry, and Preventza), Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Cardiovascular Surgery (Drs. Cooley, Coselli, de la Cruz, and Preventza), Texas Heart Institute; Houston, Texas 77030.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Henry
authors.affiliation: Division of Cardiovascular Surgery (Drs. Coselli, de la Cruz, Henry, and Preventza), Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Cardiovascular Surgery (Drs. Cooley, Coselli, de la Cruz, and Preventza), Texas Heart Institute; Houston, Texas 77030.
authors.forename: Ourania
authors.initials: O
authors.lastname: Preventza
authors.affiliation: Division of Cardiovascular Surgery (Drs. Coselli, de la Cruz, Henry, and Preventza), Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Cardiovascular Surgery (Drs. Cooley, Coselli, de la Cruz, and Preventza), Texas Heart Institute; Houston, Texas 77030.
authors.forename: Denton A
authors.initials: DA
authors.lastname: Cooley
authors.affiliation: Division of Cardiovascular Surgery (Drs. Coselli, de la Cruz, Henry, and Preventza), Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Cardiovascular Surgery (Drs. Cooley, Coselli, de la Cruz, and Preventza), Texas Heart Institute; Houston, Texas 77030.
authors.forename: Kim I
authors.initials: KI
authors.lastname: de la Cruz
authors.affiliation: Division of Cardiovascular Surgery (Drs. Coselli, de la Cruz, Henry, and Preventza), Michael E. DeBakey Department of Surgery, Baylor College of Medicine; and Department of Cardiovascular Surgery (Drs. Cooley, Coselli, de la Cruz, and Preventza), Texas Heart Institute; Houston, Texas 77030.
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Coselli
mesh_terms: D000818:Animals; D006348:Cardiac Surgical Procedures; D002417:Cattle; D017023:Coronary Angiography / Q000379:methods; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D064593:Heterografts; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D010496:Pericardium / Q000637:transplantation*; D020127:Recovery of Function; D013318:Stroke Volume; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016277:Ventricular Function, Left
keywords: Cardiac surgical procedures; heart aneurysm/prevention & control/surgery; heart ventricles/surgery; myocardial infarction/complications; treatment outcome; ventricular dysfunction, left/surgery