Abstract

Left ventricular anevrysm (LVA) is the effect of left ventricular (LV) remodeling after myocardial infarction (MI). The surgical technique to improve cardiac function is geometric reconstruction of the LV. The aim of this paper is to highlight the importance of restoring left ventricle geometry. We report a case of 53 year-old man, without any known cardiovascular history, with acute anterior myocardial infarction, left ventricular aneurysm and massive left ventricular thrombus, who arrived into the emergency department 24 hours after the onset of symptomatology. After hemodynamic stabilization, we performed geometric reconstruction of the left ventricle. With favorable postoperative evolution, patient is discharged 14 days later. At the periodic checkups it is noted that he�s postoperative ejection fraction (EF) improved and also the quality of life.

Highlights

  • Left ventricular anevrysm (LVA) is the effect of left ventricular (LV) remodeling after myocardial infarction (MI)

  • Left ventricular aneurysm (LVA) is a consequence of transmural myocardial infarction, resulting from left anterior descending artery (LAD) occlusion, this vessel vascularizing the anterior side of the left ventricle and the anterior portion of interventricular septum.[1]

  • The incidence of left ventricular aneurysm is 10-30% in patients suffering from a myocardial infarction [4] the incidence exhibiting a downward trend due to thrombolysis and myocardial percutaneous revascularization performed in the first few hours of onset of myocardial infarction [2]

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Summary

Introduction

Left ventricular anevrysm (LVA) is the effect of left ventricular (LV) remodeling after myocardial infarction (MI). 80% of left ventricular aneurysm is located antero-laterally near the apex of heart [5]. The incidence of left ventricular aneurysm is 10-30% in patients suffering from a myocardial infarction [4] the incidence exhibiting a downward trend due to thrombolysis and myocardial percutaneous revascularization performed in the first few hours of onset of myocardial infarction [2].

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