Surgical management of a giant congenital left ventricular aneurysm in a 2-month-old infant.
Oleg Anatolyevich EgunovEvgeny V KrivoshchekovFrank CettaAlexander A SokolovEvgenii A SviazovPublished in: Journal of cardiac surgery (2021)
A congenital left ventricular aneurysm is very rare. Clinical presentation varies from absence of symptoms to ventricular arrhythmias, heart failure or even sudden death. The optimal management is controversial and the surgical technique is not defined. A left ventricular aneurysm was diagnosed on prenatal echocardiography at 33 weeks gestation. After birth, initial transthoracic echocardiography confirmed the diagnosis. Two months later, the infant was taken to surgery for aneurysm repair using the Dor procedure with cardiopulmonary bypass. This technique eliminates the need for external prosthetic materials and produces a more physiologic left ventricular geometry. Transthoracic echocardiography performed at 6-month follow-up showed an ejection fraction of 66%.
Keyphrases
- left ventricular
- aortic stenosis
- heart failure
- ejection fraction
- cardiac resynchronization therapy
- hypertrophic cardiomyopathy
- coronary artery
- acute myocardial infarction
- left atrial
- mitral valve
- minimally invasive
- gestational age
- pregnant women
- abdominal aortic aneurysm
- aortic valve
- physical activity
- acute coronary syndrome
- pregnancy outcomes