On-Pump Beating Heart Endoventriculoplasty Using Autologous Endocardium for Left Ventricular Aneurysm Repair

Year 2011, Volume: 2011 Issue: 3, 328 - 330, 01.03.2011

Gürsel Levent Oktar Monica Gianoli Fabiano Porta Jan Grandjean

https://doi.org/10.5174/tutfd.2009.02795.2

Abstract

The operative goals of the repair of postinfarction left ventricular aneurysms are to correct the size and geometry of the left ventricle in order to reduce
wall tension and paradoxical movement and to improve the systolic function. Endoventriculoplasty has become the gold standard, since the late 1980s
when it was described by Jatene and modified by Dor et al. Endoventriculoplasty using autologous endocardium for left ventricular aneurysm was first
described by Grandjean et al. We present here a case report of on-pump beating heart endoventriculoplasty using autologous endocardium for postinfarction
left ventricular anterior aneurysm. This technique, as a modification of the Dor technique, restores the ventricular geometry without leaving
any segment of non-contractile ventricular wall and avoids the usage of prosthetic materials. 

Keywords

Left ventricular aneurysm, endoventriculoplasty, myocardial infarction complications

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