Premium
Minimally invasive transatrial repair of posterior left ventricular aneurysm
Author(s) -
Ranocchi Federico,
Lio Antonio,
Cammardella Antonio Giovanni,
Saitto Guglielmo,
Russo Marco,
Chirichilli Ilaria,
Nicolò Francesca,
Musumeci Francesco
Publication year - 2020
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/jocs.15059
Subject(s) - medicine , concomitant , mitral regurgitation , mitral annulus , aneurysm , surgery , myocardial infarction , cardiology , mitral valve repair , blood pressure , diastole
Abstract Left ventricular aneurysms (LVA) are a complication of myocardial infarction, that rarely involve the posterior wall; surgical repair of posterior LVA poses a technical challenge when associated with concomitant mitral regurgitation. We describe a minimally invasive treatment of ischemic MR and concomitant patch exclusion of posterior LVA through a right minithoracotomy. Using a transatrial approach, the aneurysm is closed with a “U” shaped dacron patch, whose base is anchored to the mitral annulus. Two patients were operated by this method with excellent results.