Surgical Treatment of a Submitral Left Ventricular Aneurysm and the Patient Present with Recurrent Ventricular Tachycardia.
- Author:
Young Sam KIM
1
;
Jung Soo CHO
;
Yong Han YOON
;
Joung Taek KIM
;
Wan Ki BAEK
;
Kwang Ho KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Korea. wkbaek@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Surgery;
Heart aneurysm;
Tachycardia, ventricular
- MeSH:
Aged;
Aneurysm;
Cardiopulmonary Bypass;
Endocardium;
Follow-Up Studies;
Heart Aneurysm;
Heart Ventricles;
Humans;
Male;
Mitral Valve;
Neck;
Rare Diseases;
Recurrence;
Tachycardia, Ventricular
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2010;43(2):180-183
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Submitral left ventricular aneurysm (SMLVA) is a rare disease entity that exclusively occurs in the black population. We herewith report on a surgical case of SMLVA in a 68-year-old male who presented with ventricular tachycardia. He underwent surgical repair under standard hypothermic cardiopulmonary bypass. In the state of apical elevation, a vertical ventriculotomy was made directly over the aneurysm, which was located at the posterobasal aspect of the left ventricle. Radiofrequency ablation was performed on the endocardium all around the neck of the aneurysm and then patch endoaneurysmorrhaphy was carried out with particular care not to injure the mitral valve and subvalvular structure. His postoperative recovery was uneventful. There has been no dysfunction of the mitral valve or recurrence of the ventricular tachycardia at 2 years' follow-up.
