Abstract

Left ventricular (LV) aneurysm is usually defined as a segment of the ventricular wall that exhibits paradoxical (dyskinetic) systolic expansion. A large LV aneurysm in a patient with symptoms of heart failure, particularly if angina pectoris is also present, is an indication for surgery. We reported a case with left ventricular aneurysm and low ejection fraction who had previously advocated coronary revascularization, ischemic Ventricular Septal Defect (VSD) repair with subsequent patch defect and reoperation and inferoposterior aneurysmectomy.

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