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The Annals of Thoracic Surgery, Vol 58, 1536-1538, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

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

OM Shapira, GS Aldea, TG Carr Jr and RJ Shemin
Department of Cardiothoracic Surgery, Boston University Medical Center, Massachusetts 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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