Successful surgical treatment of a giant left ventricular aneurysm

Authors: Salomov M.A., Zhalilov A.K., Ruzina E.V., Bockeria L.A.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, 121552, Russian Federation

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Type:  Case reports


DOI: https://doi.org/10.24022/1997-3187-2021-15-1-125-136

For citation: Salomov M.A., Zhalilov A.K., Ruzina E.V., Bockeria L.A. Successful surgical treatment of a giant left ventricular aneurysm. Creative Cardiology. 2021; 15 (1): 125–36 (in Russ.). DOI: 10.24022/ 1997-3187-2021-15-1-125-136

Received / Accepted:  26.02.2021 / 04.03.2021

Keywords: ischemic heart disease postinfarction left ventricular aneurysm cardiomegaly contrast echocardiography magnetic resonance imaging coronary angiography ventriculography left ventricular reconstruction

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Abstract

Myocardial ischemia leads to the loss of a part of the viable myocardium and causes complex of morphological and functional disorders of the heart. Myocardial scar formation leads to disproportional stretching and thinning of its walls, dilatation and reshaping of its cavity. This in turn is a cause of intra-ventricular microscopic and electrophysiological changes, which define the concept of ischemic remodeling. The formation of left ventricular aneurysm often occurs with acute occlusion of the left anterior descending artery and leads to significant loss of pump function and clinic of heart failure. Reconstruction of left ventricular aneurysm and myocardial revascularization leads to a significant improvement in pumping function and a decrease of heart failure symptoms. But the problem of low cardiac output syndrome early after surgery make to carry out thorough instrumental investigation for right decision. A case of complex diagnostic and successful surgical treatment of a giant left ventricular aneurysm is presented.

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About Authors

  • Makhmadsharif A. Salomov, Researcher, ORCID
  • Adkham K. Zhalilov, Cand. Med. Sc., Applicant, ORCID
  • Evgeniya V. Ruzina, Cardiologist, ORCID
  • Leo A. Bockeria, Academician of Russian Academy of Sciences and Russian Academy of Medical Sciences, President, ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery