Advertisement

Left Ventricular Aneurysm Repair for the Management of Left Ventricular Dysfunction

  • Lloyd C. Semelhago
  • Wilbert J. Keon
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 225)

Abstract

Although left ventricular aneurysms had previously been described by Hunter and others through their autopsy work it was not until the 1880s that aneurysms were proposed to occur as the result of coronary artery stenosis.1 The relationship between myocardial infarction, fibrosis and aneurysm formation and coronary artery disease was first recognized at that time. Likely Beck was the first to attempt the repair of a post-infarction left ventricular aneurysm when in 1944 he reinforced the ventricular wall with fascia lata.2 Likoff and Bailey followed in 1955 by resecting an aneurysm without cardiopulmonary bypass using a specially designed side-biting left ventricular clamp that could be applied through a thoracotomy incision.3 Subsequently, in 1958 Cooley reported the first successful open repair of a left ventricular aneurysm using cardioplumonary bypass and a buttressed linear closure.4 The surgical repair of left ventricular aneurysms has since evolved to address such issues as left ventricular geometry and ventricular arrhythmias.5-8

Keywords

Left Anterior Descend Ventricular Aneurysm Left Ventricular Geometry Left Ventricular Aneurysm Patch Plasty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Cohnheim J, Schulthess Rechberg AV. Uiber die folgen der kranzarterien-verschliessung für das Hertz. Virchows Arch [A] 1881;85:503.Google Scholar
  2. 2.
    Beck CS. Operation for aneurysm of the heart. Ann Surg 1944;120:34–40.PubMedCrossRefGoogle Scholar
  3. 3.
    Likoff W, Bailey CP. Ventriculoplasty: Excision of myocardial aneurysm, report of a successful case. JAMA 1955;158:915.Google Scholar
  4. 4.
    Cooley DA, Collins HA, Morris GC, Chapman DW. Ventricular aneurysm after myocardial infarction. Surgical excision with use of temporary cardiopulmonary bypass. JAMA 1958;167:557.Google Scholar
  5. 5.
    Daggett WM, Guyton RA, Mundth ED et al. Surgery for post-myocardial infarct ventricular septal defect. Ann Surg 1977;186:260–70.PubMedCrossRefGoogle Scholar
  6. 6.
    Dor V, Saab M, Coste P, Komaszewska M, Montiglio F. Left ventricular aneurysm: a new surgical approach. Thorac Cardiovasc Surg 1989;39:11–9.Google Scholar
  7. 7.
    Jatene AD. Left ventricular aneurysmectomy. Resection or reconstruction. J Thorac Cardiovasc Surg 1985;89:321–31.PubMedGoogle Scholar
  8. 8.
    Cooley DA. Ventricular endoaneurysmorrhaphy: a simplified repair for extensive postinfarction aneurysm. J Cardiac Surg 1989;4:200.CrossRefGoogle Scholar
  9. 9.
    Grieco JG, Montoya A, Sullivan HJ, Bakhos M, Foy BK. Ventricular aneurysm due to blunt chest injury. Ann Thorac Surg 1989;47:322–9.PubMedCrossRefGoogle Scholar
  10. 10.
    Davila JC, Enriquez F, Bergoglio S, et al. Congenital aneurysm of the left ventricle. Ann Thorac Surg 1965;1:697.PubMedCrossRefGoogle Scholar
  11. 11.
    Valantine H, McKenna WJ, Nihoyannopoulos P, et al. Sarcoidosis: a pattern of clinical and morphological presentation. Br Heart J 1987;57:256.PubMedCrossRefGoogle Scholar
  12. 12.
    Nagle RE, Williams DO. Natural history of ventricular aneurysm without surgical treatment. Br Heart J 1974;36:1037 (abst).PubMedGoogle Scholar
  13. 13.
    Kirklin JW and Barratt-Boyes BC. In: Cardiac Surgery, Second Edition, Churchill Livingstone, New York, 1992.Google Scholar
  14. 14.
    Kayden DS, Wackers FJ, Zaret BL. Left ventricular aneurysm formation after thrombolytic therapy for anterior infarction. TIMI phase I and open label 1985–86. Circulation 1987;76(Suppl IV):97.Google Scholar
  15. 15.
    Chen JS, Hwang CL, Lee DY, Chen YT. Regression of left ventricular aneurysm after delayed percutaneous transluminal coronary angioplasty (PTCA) in patients with acute myocardial infarction. Int J Cardiol 1995;48:39.PubMedCrossRefGoogle Scholar
  16. 16.
    Hirai T, Fujita M, Nakajima H, et al. Importance of collateral circulation for prevention of left ventricular aneurysm formation in acute myocardial infarction. Circulation 1989;79:791–6PubMedGoogle Scholar
  17. 17.
    Forman MB, Collins HW, Kopelman HA, et al. Determinants of left ventricular aneurym formation after anterior myocardial infarction: A clinical and angiographic study. J Am Coll Cardiol 1986;8:1256PubMedGoogle Scholar
  18. 18.
    Veinot JP, Kos AI, Masters RG et al. Left ventricular aneurysms: clinicopathological review of 10 vears experience. J Surg Path 1997;2:107–14.Google Scholar
  19. 19.
    Dubnow MH, Burchell HB, Titus JL. Postinfarction ventricular aneurysm: A clinicopathologic and electrocardiographic study of 80 cases. Am Heart J 1965;70:753–8.PubMedCrossRefGoogle Scholar
  20. 20.
    Buehler DL, Stinson EB, Oyer PE, Shumway NE. Surgical treatment of aneurysms of the inferior wall. J Thorac Cardiovasc Surg 1979;78:74–8.PubMedGoogle Scholar
  21. 21.
    Bruschke AVG, Proudfit WL, Sones FM Jr. Progress study of 590 consecutive nonsurgical cases of coronary disease followed 5–9 years. II. Ventriculographic and other correlations. Circulation 1973;47:1154–7.PubMedGoogle Scholar
  22. 22.
    Grondin P, Kretz JG, Bical O, et al. Natural history of saccular aneurysm of the left ventricle. J Thorac Cardiovasc Surg 1979;77:57–9.PubMedGoogle Scholar
  23. 23.
    Parmley WW, Chuck L, Kivowitz C et al. In vitro length-tension relations of human ventricular aneurvsms. relation of stiffness to mechanical disadvantage. Am J Cardiol 1973;32:889–94.PubMedGoogle Scholar
  24. 24.
    Weisman H, Bush D, Mannisi, Bulkley B. Global cardiac remodeling after acute myocardial infarction. J Am Coll Cardiol 1985;5:1355–9.PubMedCrossRefGoogle Scholar
  25. 25.
    Nicolosi AC, Spotnitz HM. Quantitative analysis of regional systolic function with left ventricular aneurysm. Circulation 1988:78:856–62.PubMedGoogle Scholar
  26. 26.
    Kitamura S, Kay JH, Krohn BG et al. Geometric and functional abnormalities of the left ventricle with a chronic localized noncontractile area. Am J Cardiol 1973;31:701–7.PubMedCrossRefGoogle Scholar
  27. 27.
    Jan K. Distribution of myocardial stress and its influence on coronary blood flow. J Biochem 1985;18:815–8.Google Scholar
  28. 28.
    Streeter D, Vaishnav R, Pater D et al. Stress distribution in the canine left ventricle during diastole and systole. Biophys J 1970:10:345–8.PubMedCrossRefGoogle Scholar
  29. 29.
    Cox JL, Lefl ventricular ancurysms: Pathologic observations and standard resection. Semi Thorac Cardiovasc Surg 1997;9:113–22.Google Scholar
  30. 30.
    Faxon DP, Ryan TJ, David KB et al. Prognostic significance of angiographically documented left ventricular aneurysm from the coronary artery surgery (CASS)s study. Am j Cardiol 1982;50:157–64.PubMedCrossRefGoogle Scholar
  31. 31.
    Faxon DP, Myers WO, McCabe CH et al. The influence of surgery on the natural history of angiographically documented left ventricular aneurysm. The coronary artery Surgery Study. Circulation 1986;74:110–8.PubMedGoogle Scholar
  32. 32.
    Mourdjinis A, Olsen E, Raphael MJ, Mounsey JPD. Clinical diagnosis and prognosis of ventricular aneurysm. Br Heart J 1968;30:497–513.PubMedCrossRefGoogle Scholar
  33. 33.
    Walker WE, Stoney WS, Alford WC et al. Techniques and results of ventricular aneurysmectomy with emphasis on anteroseptal repair. J Thorac Cardiovasc Surg 1978;76:824–8.PubMedGoogle Scholar
  34. 34.
    Mickelborough LL, Maruyama H, Liu P, Mohamed S. Results of left ventricular aneurysmectomy with a tailored scar excision and primary closure technique. J Thorac Cardiovasc Surg 1994;107:690–8.Google Scholar
  35. 35.
    Jatene AD. Left ventricular aneurysmectomy. Resection or reconstruction. J Thorac Cardiovasc Surg 1985;89:321–31.PubMedGoogle Scholar
  36. 36.
    Daggett WM, Guyton RA, Mundth ED et al. Surgery for post-myocardial infarct ventricular septal defect. Ann Surg 1977;186:260–71.PubMedCrossRefGoogle Scholar
  37. 37.
    Dor V, Saab M, Coste P et al. Left ventricular aneurysm: A new surgical approach. Thorac Cardiovasc Surg 1989;37:11–19.PubMedGoogle Scholar
  38. 38.
    Dor V. Left ventricular aneurysms: The endoventricular circular patch plasty. Sem Thorac Cardiovasc Surg 1997;9:123–30.Google Scholar
  39. 40.
    Jatene AD. Surgical management of left ventricular aneurysms. In: Buae AE, Geha AS, Hammond GL et al (eds): Gelnn’s Thoracic and Cardiovascular Surgery. Appleton & Lange, Norwalk, 1991.Google Scholar
  40. 41.
    Barratt-Boyes BG, White HD, Agnew TM et al. The results of surgical treatment of left ventricular aneurysms: An assessment of risk factors affecting early and late mortality. J Thorac Cardiovasc Surg 1984;1:87–98.Google Scholar
  41. 42.
    Dor V, Sabatier M, DiDonato M et al. Late hemodynamic results after left ventricular patch repair associated with coronary grafting in patients with post-infarction akinetic or dyskinetic aneurysm of the left ventricle. J Thorac Cardiovasc Surg 1995;110:1291–301.PubMedCrossRefGoogle Scholar

Copyright information

© Kluwer Academic Publishers 1999

Authors and Affiliations

  • Lloyd C. Semelhago
  • Wilbert J. Keon

There are no affiliations available

Personalised recommendations