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Ann Thorac Surg 1991;51:484-487
© 1991 The Society of Thoracic Surgeons
Departments of Surgery and Pediatric Cardiology, New York University Medical Center, New York, New York USA
Accepted for publication August 14, 1990.
* Address reprint requests to Dr Grossi, Suite 6D, Faculty Practice, NYU Medical Center, 530 First Ave, New York, NY 10016.
Left ventricular aneurysms and diverticula are rarely encountered in the pediatric age group. This paper reports a case of congestive heart failure and mitral regurgitation in a 6-year-old boy with a large posterolateral left ventricular aneurysm. Complete repair was successfully performed by excision of the aneurysm and Dacron patch reconstruction of the left ventricular free wall. The patch extended onto the posterior annulus of the mitral valve, thus restoring the mitral valve to normal geometry and correcting the mitral insufficiency. The surgical literature on congenital cardiac diverticula and acquired aneurysms in children is reviewed and summarized.
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