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Submitral Left Ventricular Aneurysm: A Rare but Challenging Pathology to Treat
Author(s) -
Pektok Erman,
Cikirikcioglu Mustafa,
Didier Dominique,
Kalangos Afksendiyos
Publication year - 2008
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2008.00574.x
Subject(s) - medicine , aneurysm , cardiology , etiology , pericardium , left ventricular aneurysm , mitral valve , heart aneurysm , atrioventricular valve , population , surgery , radiology , ventricle , environmental health
Submitral left ventricular aneurysm is a rare cardiac pathology. Etiology remains still mysterious, but it is believed to be due to a congenital defect of the fibrous layer of the atrioventricular junction. Surgical closure of aneurysm rim is the therapy of choice, despite the diversity of surgical approaches and techniques. We present a young patient operated with a transmitral approach in our clinic. Posterior mitral leaflet (PML) detachment and then extension valvuloplasty by using autologous pericardium was performed in order to save the native mitral valve. We believe that respecting the integrity of native valve is of crucial importance in this young population of patients.