Left ventricular endoaneurysmorrhaphy (LVEA) by internal (synthetic) patch and external (wrapped aneurysmal wall) repair reduces the size of the left ventricle (LV) with preservation of a natural geometry, stabilizes a normal myocardium during systole, and prevents diastolic overdistention. The wrapped aneurysmal wall may contribute to systolic augmentation if it contains some muscular tissue and if it is revascularized. LVEA is warranted for LV aneurysms caused by infarction of more than one coronary artery and involving more than one segment of the LV.
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References
1.
1. Matas R: Traumatic aneurysm of the left brachial artery. NY Med News53:462-466, 1888.
2.
2. Likoff W, Bailey CP: Ventriculoplasty: Excision of myocardial aneurysm. Report of a successful case. JAMA158:915-920, 1955.
3.
3. Cooley DA, Collins HA, Morris GC Jr, et al: Ventricular aneurysm after myocardial infarction: Surgical excision with the use of temporary cardiopulmonary bypass. JAMA167:557-560, 1958.
4.
4. Olearchyk AS, Lemole GL, Spagna PM: Left ventricular aneurysm. Ten years' experience in surgical treatment of 244 cases. Improved clinical status, hemodynamics, and long-term longevity. J Thorac Cardiovasc Surg88:544-553, 1984.
6. Jatene AD: Left ventricular aneurysmectomy. Resection or reconstruction. J Thorac Cardiovasc Surg89:321-331, 1985.
7.
7. Dor V, Saab M, Coste P, et al: Left ventricular aneurysm: A new surgical approach. Thorac Cardiovasc Surg37:11-19, 1989.
8.
8. Cooley DA: Ventricular endoaneurysmorrhaphy. Results of an improved method of repair. Texas Heart Inst J16:72-75, 1989.
9.
9. Cooley DA: Repair of the calcified ventricular aneurysm. Ann Thorac Surg49:189-190, 1990.
10.
10. Cooley DA: Repair of post-infarction aneurysm of the left ventricle. In: Cardiac Surgery: State of the Arts Review. Philadelphia: Hanley & Belfus, Inc., 4(2):309-319, 1990.
