title: Patch Repair for a Subepicardial Aneurysm With an Approach From Inside the Heart.
abstract: We present a case of subepicardial aneurysm that developed as a complication of acute myocardial infarction. Although the patient had stable hemodynamics, the diameter of the aneurysm tended to increase over time; thus, an operation was performed. We thought that approaching the aneurysm from outside the heart would injure the papillary muscle or distort the left ventricle and exacerbate mitral regurgitation. Therefore, we performed patch repair using bovine pericardium and approached the aneurysm from inside the heart. This is the first case report of a subepicardial aneurysm that was approached and repaired from inside the heart.
authors.affiliation: Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Hiroshima, Japan. Electronic address: yamaneyomi@gmail.com.
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Yamane
authors.affiliation: Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Hiroshima, Japan.
authors.forename: Shogo
authors.initials: S
authors.lastname: Mukai
authors.affiliation: Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Hiroshima, Japan.
authors.forename: Hironobu
authors.initials: H
authors.lastname: Morimoto
authors.affiliation: Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Hiroshima, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Koshiyama
authors.affiliation: Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Hiroshima, Japan.
authors.forename: Shuhei
authors.initials: S
authors.lastname: Okubo
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017548:Echocardiography, Transesophageal; D005260:Female; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*; D010496:Pericardium / Q000637:transplantation; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed