Surgical Correction of Congenital Apical Left Ventricular Aneurysm: A Case Series
Keywords:
Congenital left ventricular aneurysm, endoventricular patch, linear plication apical, left ventricular aneurysm, echocardiogram, amputationAbstract
Background: Congenital apical left ventricular aneurysm is a rare cardiac anomaly and the procedure for the corrective surgery is often not well described. The purpose of this study is to present our surgical technique for the management of this rare cardiac anomaly and to report the outcome of our series of patients.
Methods: We detailed our experience with three patients with congenital apical left ventricular aneurysm. Their ages were three months, eight months, and four years, all of whom were operated between the years 2012 and 2013. The main technique was apical amputation and linear repair of ventricular wall with or without endoventricular circular patch under cardiopulmonary bypass.
Results: All patients underwent operations successfully without any perioperative complications and were discharged from the cardiac intensive care unit within one day after surgery. Postoperative echocardiogram showed normal left ventricular function in all cases. All patients have good functional status.
Conclusion: Based on our experience, apical amputation and linear plication with or without endoventricular circular patch is a simple, safe, effective and reproducible technique for the management of congenital apical left ventricular aneurysm.
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