Authors
Popov L.V., Vahrameeva M.N., Vakhrameev A.Yu., Borshchev G.G.
Clinic of Thoracic and Cardiovascular Surgery St. George’s of National Medical
Surgical Center. N.I. Pirogov, Moscow
Abstract
A clinical case of correction of postinfarction aneurysm of the left ventricle with a large area of scarring is presented. The role of ECG-synchronized single-photon emission computed tomography of the heart with Tc99m-technetrile in the diagnosis and determination of tactics and volume of surgical treatment is shown.
Keywords: ischemic heart disease, postinfarction aneurysm of the left ventricle, perfusion myocardial scintigraphy, coronary artery bypass, trombectomy, plastic of the left ventricle.
References
1. Belov YuV. Rekonstruktivnaya khirurgiya pri ishemicheskoi bolezni serdtsa. [dissertation abstract] Moscow; 1987. (In Russ).
2. Petrovskii BV, Konstantinov BA, Lyskin GI. Khirurgicheskoe lechenie khronicheskih postinfarktnykh anevrizm serdtsa. Khirurgiia (Mosk). 1974;50(6):7–12. (In Russ).
3. Chernyavskii AM, Karas’kov AM, Marchenko AB, Khapaev SA. Rekonstruktivnaya khirurgiya postinfarktnykh anevrizm levogo zheludochka. Novosibirsk: Izdatel’stvo SO RAN, filial «Geo»; 2003. 179 p. (In Russ).
4. Shevchenko YuL, Borisov IA, Bozhenko SA. Postinfarktnaya anevrizma serdca: ustranenie ili revaskulyarizaciya? Vestn Khir Im I I Grek. 1997;156(5):70–73. (In Russ).
5. Di Donato M, Sabatier M, Dor V, Gensini GF, Toso A, Maioli M, Stanley AW, Athanasuleas C, Buckberg G. Effects of the Dor procedure on left ventricular dimension and shape and geometric correlates of mitral regurgitation one year after surgery. J Thorac Cardiovasc Surg. 2001;121(1):91–96. doi: 10.1067/mtc.2001.111379.
6. Dor V, Di Donato M, Sabatier M, Montiglio F, Civaia F; RESTORE Group. Left ventricular reconstruction by endoventricular circular patch plasty repair: a 17-year experience. Semin Thorac Cardiovasc Surg. 2001;13(4):435–447.
7. Elefteriades JA, Solomon LW, Mickleborough LL, Cooley DA. Left ventricular aneurysmectomy in advanced left ventricular dysfunction. Cardiol Clin. 1995;13(1):59–72.
8. Faxon DP, Myers WO, McCabe CH, Davis KB, Schaff HV, Wilson JW, Ryan TJ. The influence of surgery on the natural history of angiographically documented left ventricular aneurysm: the Coronary Artery Surgery Study. Circulation. 1986;74(1):110–118. doi: 10.1161/01.cir.74.1.110.
9. Hutchins GM, Brawley RK. The influence of cardiac geometry on the results of ventricular aneurysm repair. Am J Pathol. 1980;99(1):221–230.