| Title |
Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report
|
|---|---|
| Published in |
Surgical Case Reports, April 2023
|
| DOI | 10.1186/s40792-023-01640-9 |
| Pubmed ID | |
| Authors |
Yuta Kanazawa, Shunsuke Saito, Ikuko Shibasaki, Taiki Matsuoka, Shotaro Hirota, Shouhei Yokoyama, Yasuyuki Kanno, Masahiro Tezuka, Go Tsuchiya, Taisuke Konishi, Koji Ogata, Hirotsugu Fukuda |
| Abstract |
Left ventricle aneurysm (LVA) as a sequela to myocardial infarction or iatrogenic injury is required surgical treatment with full median sternotomy. Herein, we report a case of successful surgical treatment of left ventricle aneurysm performed by minimally invasive cardiac surgery (MICS). We describe a case of a LVA treated by minimally invasive cardiac surgery in an 82-year-old woman who reported to the hospital with the complaint of chest pains at rest. Computed tomography (CT) coronary angiography revealed a left ventricle apical aneurysm. The aneurysm was suspected to be a pseudoaneurysm caused by a previous myocardial infarction. Surgery was performed under general anesthesia, with the patient in a supine position. A small incision was made in the 3rd intercostal space through which an aortic root vent cannula and aortic clamp were inserted, followed by exposing the aneurysm via incision of the left 6th intercostal space. The aneurysm was resected and pathologically examined, revealing it to be a "true" aneurysm. The left ventricle wall was closed using polypropene mattress sutures. Postoperative CT scan revealed successful resection of the aneurysm. Usually, a surgical treatment with full median sternotomy and left ventriculostomy is indicated for LVA. We decided to treat the LVA with bilateral thoracotomy MICS. We preferred to perform this procedure under cardiac arrest to ensure safe and secure closure of the aneurysm. The right small thoracotomy was necessary for aortic cross-clamping and aortic root venting. The procedure was safe and simple and yielded excellent postoperative outcomes. Therefore, we speculate that this method can be applied to the management of larger aneurysms. |
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|---|---|---|
| Unknown | 1 | 100% |
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Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 April 2023.
All research outputs
#15,863,447
of 23,567,572 outputs
Outputs from Surgical Case Reports
#93
of 517 outputs
Outputs of similar age
#135,550
of 250,524 outputs
Outputs of similar age from Surgical Case Reports
#1
of 12 outputs
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