Yoshinobu Watabe, Koji Sato, Taiki Ito, Satoru Wakasa
{"title":"[Left Ventriculoplasty for Ventricular Septal Rupture and Left Ventricular Aneurysm Following Acute Myocardial Infarction:Report of a Case].","authors":"Yoshinobu Watabe, Koji Sato, Taiki Ito, Satoru Wakasa","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>A 70-year-old man with acute myocardial infarction underwent percutaneous coronary intervention (PCI) for the diagonal branch. Eight days after PCI, the patient presented worsening heart failure. Transthoracic echocardiography( TTE) and enhanced computed tomography( CT) revealed ventricular septal rupture( VSR) and left ventricular aneurysm( LVA). After establishing cardiopulmonary bypass, the LVA was longitudinally excised along the left anterior descending artery( LAD). A septal anterior ventricular exclusion( SAVE) procedure was performed using a bovine pericardial patch to exclude the LVA and VSR. The VSR was directly closed with pledgeted sutures. Additionally, coronary artery bypass grafting was performed to the LAD using the left internal thoracic artery. The patient was discharged without any complications.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"449-453"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kyobu geka. The Japanese journal of thoracic surgery","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
A 70-year-old man with acute myocardial infarction underwent percutaneous coronary intervention (PCI) for the diagonal branch. Eight days after PCI, the patient presented worsening heart failure. Transthoracic echocardiography( TTE) and enhanced computed tomography( CT) revealed ventricular septal rupture( VSR) and left ventricular aneurysm( LVA). After establishing cardiopulmonary bypass, the LVA was longitudinally excised along the left anterior descending artery( LAD). A septal anterior ventricular exclusion( SAVE) procedure was performed using a bovine pericardial patch to exclude the LVA and VSR. The VSR was directly closed with pledgeted sutures. Additionally, coronary artery bypass grafting was performed to the LAD using the left internal thoracic artery. The patient was discharged without any complications.
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