Left Ventricular Aneurysmectomy and Repair of Post-infarct Ventricular Septal Defect with Concomitant Aortocoronary Bypass Grafting: A Video Presentation
| Main Authors: | Ujjwal Kumar Chowdhury, Niwin George, Abhinavsingh Chauhan, Lakshmi Kumari Sankhyan, Jhulana Kumar Jena, Sushama Gayatri B, Priyanka Chowdhury |
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| Format: | Article |
| Terbitan: |
, 2019
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/3594281 |
Daftar Isi:
- Mechanical complications resulting from myocardial infarction usually have profound acute or chronic hemodynamic effects. Left ventricular aneurysm formation and ventricular septal rupture occurs in 10-20% patients after acute myocardial infarction [1-6]. Surgical techniques have gradually evolved since the first successful operation for post-infarct ventricular septal defect was performed by Cooley and colleagues in 1956 [2,3,6]. We present here-in a 65-year-old male patient diagnosed to have double vessel coronary artery disease [left anterior descending artery- 100% occlusion; first intramyocardial marginal branch of circumflex artery- 90% occlusion (1.5 mm diameter) and post infarct ventricular septal defect with inferior left ventricular aneurysm and unstable hemodynamics. The patient underwent double vessel aortocoronary saphenous vein bypass grafting, Dacron patch closure of the ventricular septal defect and linear Teflon felt-supported left ventricular repair. Postoperative recovery was uneventful. No intra-aortic balloon counter pulsation was required.