ObjectiveTo present a surgical variant technique to repair left ventricular aneurysms.MethodsAfter anesthesia, cardiopulmonary bypass, and myocardial protection with
hyperkalemic tepic blood cardioplegia: 1) The left ventricle is opened through the
infarct and an endocardial encircling suture is placed at the transitional zone
between the scarred and normal tissue; 2) Next, the scar tissue is
circumferentially plicated with deep stitches using the same suture thread, taking
care to eliminate the entire septal scar; 3) Then, a second encircling suture is
placed, completing the occlusion of the aneurysm, and; 4) Finally, the remaining
scar tissue is oversewn with an invaginating suture, to ensure hemostasis.
Myocardium revascularization is performed after correction of the left ventricle
aneurysm. The same surgeon performed all the operations.ResultsRegarding the post-surgical outcome 4 patients (40%) had surgery 8 eight years
ago, 2 patients (20%) were operated on over 6 years ago, and 1 patient (10%) was
operated on more than 5 years ago. Three patients (30%) were in functional class
I, class II in 2 patients (20%) and 2 patients (20%) with severe comorbidities
remains in class III of the NYHA. There were three deaths (at four days, 15 days
and eight months) in septuagenarians with acute myocardial infarction, diabetes
and pulmonary emphysema.ConclusionThe technique is easy to perform, safe and it can be an option for the correction
of left ventricle aneurysms.