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Asian Cardiovasc Thorac Ann 2002;10:287
© 2002 Asia Publishing EXchange Pte Ltd

IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

Giant Left Ventricular Aneurysm

Theodore J Velissaris, AFRCS, Clinton T Lloyd, FRCS, Sunil K Ohri, FRCS(CTh)

Department of Cardiac Surgery Wessex Cardiothoracic Centre Southampton General Hospital Southampton, Hampshire, England, UK
For reprint information contact: Theodore J Velissaris, AFRCS Tel: 44 23 8079 6233 Fax: 44 23 8079 8508 email: theo{at}velissaris.com Department of Cardiac Surgery, Wessex Cardiothoracic Centre, Southampton General Hospital, Tremona Road, Southampton, Hampshire, England SO16 6YD, UK.
This intraoperative picture (seen from the surgeon’s side) shows a giant (10-cm) aneurysm originating from the apex of the left ventricle. The aneurysmal sac (A) has been dissected and partly excised and there is extensive calcification (C) around the orifice of the aneurysm (arrows).Go



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The patient was a 72-year-old female who had remained well after a myocardial infarction 8 years previously. A thrombus-containing aneurysm was discovered 6 weeks prior to surgery, and warfarin was commenced. Subsequently, the patient developed progressive congestive cardiac failure and required surgical treatment. At surgery, the aneurysm was excised and a Dacron patch was used to obliterate the orifice. The patient was weaned from cardiopulmonary bypass using moderate inotropic support and she made an uncomplicated recovery. She was discharged from hospital 10 days after surgery.





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