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Oz M. Shapira
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Thomas G. Carr, Jr
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Ann Thorac Surg 1994;58:1536-1538
© 1994 The Society of Thoracic Surgeons

Articles

Thoracotomy for repair of left ventricular aneurysm in a patient with patent coronary bypass grafts

Oz M. Shapira, MD, Gabriel S. Aldea, MD, Thomas G. Carr, Jr, MD, Richard J. Shemin, MD*

Department of Cardiothoracic Surgery, Boston University Medical Center, Boston, Massachusetts USA

Accepted for publication March 14, 1994.

* Address reprint requests to Dr Shemin, Department of Cardiothoracic Surgery, Boston University Medical Center, 88 E Newton St, Boston, MA 02118.

A 72-year-old man presented with a posterior left ventricular aneurysm 5 years after undergoing quadruple coronary artery bypass grafting. An angiogram demonstrated patent saphenous vein grafts, but also showed incidental asymptomatic aortic aneurysms. Left ventricular endoaneurysmorrhaphy was performed through a left thoracotomy. This approach affords excellent exposure of a posterior left ventricular aneurysm, averts many of the risks associated with reoperation, and should be considered in patients who have undergone a median sternotomy and who do not require myocardial revascularization.




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