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Ann Thorac Surg 2000;69:1257-1259
© 2000 The Society of Thoracic Surgeons

CASE REPORTS

Late ventricular structure after partial left ventriculectomy

Paul P. Lunkenheimer, MDa, Klaus Redmanna, Colin W. Cryer, PhDb, Damian Sánchez-Quintana, MDc, Siew Yen Ho, PhDc, Robert H. Anderson, MDc, Randas V. Batista, MDd

a University Hospital, Münster, Germany
b Institute of Numerical Mathematics, Münster, Germany
c National Heart and Lung Institute, Imperial College School of Medicine, London, England, United Kingdom
d Fundação do Coração Vilela Batista, Curitiba, Brazil

Address reprint requests to Dr Lunkenheimer, Klinik und Poliklinik für Thorax-, Herz- und Gefäßchirurgie, Experimentelle Thorax-, Herz- und Gefäßchirurgie, Domagkstr 11, D-48129 Münster, Germany
e-mail: redmann{at}uni-muenster.de

Nine months after partial ventriculectomy, a 53-year-old man died of progressive heart failure. His heart was examined to determine the alignment of the muscle fibers around the ventricular scar, which was 11 cm long, 1.3 cm thick and 4 cm wide. The scar reached 2 to 12 mm beyond the surgical suture line. The fibers in the middle and subendocardial layers were malaligned, resulting in convergence, compression and regional necrosis.




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