Left Main Coronary Artery Hypoplasia in Elderly

Tiryakioğlu, Selma Kenar; Özkan, Hakan; Bahadir, Hakan; Tiryakioğlu, Osman

doi:10.1155/2016/4156581

Cited by 1 publication

(5 citation statements)

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“…Patients should be placed into a transplantation program if the contractile EF is lower than 25%, there is severe mitral regurgitation, and the coronary arteries are unsuitable for bypass with right heart failure. 1,4 Our patient had a low EF (10-15%), dilated LV (8.7 cm), and CLVA. Ventricle repair was performed using an aneurysmectomy and the Dor technique.…”

Section: Discussionmentioning

confidence: 70%

“…In patients with an LVA, death of cardiac origin generally results from malignant ventricular arrhythmias, congestive heart failure, or recurrent acute myocardial infarction. 1 Our patient suffered a sudden cardiac arrest requiring CPR three weeks earlier.…”

Section: Discussionmentioning

confidence: 78%

“…Methods used for the surgical treatment of an LVA include plication, linear suture repair, placement of a circular patch, and the Dor procedure. 1,4 P Pl li ic ca at ti io on n: This is used for small, thrombus-free aneurysms, which can be plicated from the outside without opening the aneurysm sac. 1,4 L Li in ne ea ar r s su ut tu ur re e r re ep pa ai ir r: The aneurysm sac is opened.…”

Section: Discussionmentioning

confidence: 99%

“…The defect is closed using a synthetic patch. 1,4 D Do or r p pr ro oc ce ed du ur re e ( (e en nd do ov ve en nt tr ri ic cu ul la ar r p pa at tc ch h t te ec ch h--n ni iq qu ue e) ): The Dor procedure is a convenient method for treating aneurysms in the anterior wall of the LV. It gives good results when used for aneurysms larger than 8 cm diameter.…”

Section: Discussionmentioning

confidence: 99%

“…Its standard treatment is surgical. [1][2][3][4] The aim of surgical treatment of an left ventricular aneurysm (LVA) is to reduce oxygen consumption in the left ventricular (LV) by reducing end-diastolic volume (EDV), creating the ideal ventricle geometry, and preventing thrombus formation.…”

mentioning

confidence: 99%

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An Extensive Calcified Left Ventricular Aneurysm: Case Report

Alur¹,

Güneş²,

Tanrisever³

et al. 2016

Turkiye Klinikleri J Cardiovasc Sci

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calcified left ventricular aneurysm (CLVA) is a mechanical complication that develops after acute transmural necrosis of the myocardium.1 It can lead to angina pectoris, thromboembolism of ventricular origin, ventricular arrhythmia, ventricular pseudoaneurysm or rupture, progressively enlarging aneurysms, congestive heart failure, and death. Its standard treatment is surgical. [1][2][3][4] The aim of surgical treatment of an left ventricular aneurysm (LVA) is to reduce oxygen consumption in the left ventricular (LV) by reducing end-diastolic volume (EDV), creating the ideal ventricle geometry, and preventing thrombus formation.1-4 The surgical results are generally good. This article presents a patient with CLVA in whom we performed surgery.Turkiye Klinikleri J Cardiovasc Sci 2016;28 (1) 39 An Extensive Calcified Left Ventricular Aneurysm: Case Report A AB BS ST TR RA AC CT T A calcified left ventricular aneurysm (CLVA) is a rare, serious complication of acute myocardial infarction. It can lead to angina pectoris, thromboembolism of ventricular origin, ventricular arrhythmia, ventricular pseudoaneurysm or rupture, progressively enlarging aneurysms, congestive heart failure, and death. Treatment is surgical for symptomatic or asymptomatic LVAs larger than 5 cm, particularly when there is comorbid coronay artery disease. Its standard treatment is a ventriculoplasty and aneurysmectomy using the Dor technique. The aim of surgical treatment of an LVA is to reduce oxygen consumption in the LV by reducing end-diastolic volume (EDV), creating the ideal ventricle geometry, and preventing thrombus formation. The surgical results are often good. This article presents a patient with CLVA in whom we performed surgery.K Ke ey y W Wo or rd ds s: : Heart ventricles; heart aneurysm; thoracic surgery Ö ÖZ ZE ET T Kalsifik sol ventrikül anevrizması (KSVA) akut miyokard infarktüsünün nadir ve ciddi bir komplikasyonudur. Bu komplikasyon anjina pektoris, ventriküler kaynaklı tromboemboli, ventriküler aritmi, ventriküler psödoanevrizma veya rüptür, progresif genişleyen anevrizma ve konjestif kalp yetersizliği gibi fatal kardiyak olaylara yol açabilir. Semptomatik veya asemptomatik, 5 cm'den büyük SVA'ların, özellikle eşlik eden koroner arter hastalığı da varsa tedavisi cerrahidir. Standart tedavisi anevrizmektomi ve Dor tekniği ile yapılan ventriküloplastidir. Sol ventrikül anevrizmalarında cerrahi tedavinin amacı, end-diyastolik hacmi (EDH) küçülterek sol ventrikülün oksijen tüketimini (talebini) azaltmak, ventrikülün ideal geometrisini oluşturmak ve trombüs oluşumunu engellemektir. Cerrahi sonuçları çoğunlukla yüz güldürücüdür. Bu yazıda KSVA tanısıyla cerrahi uyguladığımız olgu sunuldu.A An na ah ht ta ar r K Ke el li im me el le er r: : Kalp ventrikülleri; kalp anevrizmasi; göğüs cerrahisi T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J C Ca ar rd di io ov va as sc c S Sc ci i 2 20 01 16 6; ;2 28 8( (1 1) ): :3 39 9--4 42 2

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 78%