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The Annals of Thoracic Surgery, Vol 51, 484-487, Copyright © 1991 by The Society of Thoracic Surgeons
EA Grossi, SB Colvin, AC Galloway, M Rutkowski, EF Doyle, GA Crooke and FC Spencer
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.
ARTICLES
Repair of posterior left ventricular aneurysm in a six-year-old boy
Department of Surgery, New York University Medical Center, NY 10016.
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