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Repair of Posterior Left Ventricular Aneurysm through Transatrial Approach
Author(s) -
Da Col Uberto,
Di Bella Isidoro,
Ramoni Enrico,
Affronti Alessandro,
Rossi Alessia,
Ragni Temistocle
Publication year - 2010
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.1540-8191.2009.00819.x
Subject(s) - ventriculotomy , medicine , intracardiac injection , aneurysm , cardiology , heart aneurysm , pseudoaneurysm , surgery , mitral valve , radiology , ventricle
Repair of posterior left ventricular ischemic aneurysms implies an extracardiac approach to reshape the ventricular geometry frequently associated with mitral surgery. A transatrial technique was described for lesions following mitral surgery or for subvalvular idiopathic cases. A transmitral approach was used for ischemic or traumatic pseudoaneurysm. We describe a case of postinfarction posterior true aneurysm with associated mitral incompetence. Both lesions were treated through an intracardiac approach. The posterior mitral leaflet was detached posteriorly to close the aneurysm with a patch, and the valve replaced sparing all subvalvular apparatus. This technique seems to be safe and allows to treat both lesions avoiding ventriculotomy.(J Card Surg 2010;25:23‐25)