| A Case Report of Dor's Operation
for Left Ventricular Aneurysm with Cardiac Failure 19 Years after
the Operation for Post Infarction Ventricular Septal Perforation |
(Department of Cardiovascular Surgery, Fukui Cardiovascular
Center, Fukui, Japan)
| Yoshinao Koshida |
Hirokazu Ohashi |
Yasushi Tsutsumi |
| Takahiro Kawai |
Hiromichi Fujii |
Masateru Onaka |
|
We encountered a case of Dor's operation
for left ventricular aneurysm with cardiac failure 19 years after
operation for post-infarction ventricular septal perforation.
A 70-year-old man, who had undergone patch closure for ventricular
septum perforation due to acute anteroseptal myocardial infarction,
was admitted for congestive heart failure. Preoperative left
ventriculography (LVG) revealed large anteroseptal and ventricular
septal aneurysm. The left ventricular ejection fraction (LVEF)
was 39%, and the left ventricular end diastolic volume (LVEDV)
was 200ml. Dor's operation and coronary artery bypass grafting
to the left circumflex branch was performed. The postoperative
course was uneventful and the patient was discharged 33 days
after the operation. Postoperative LVG revealed improved left
ventricular function and showed that LVEF was 45% and LVEDV was
171ml. The large akinetic aneurysm was formed 19 years after
operation following the linear closure method. LVG after Dor's
operation showed remarkable improvement for left ventricular
function. These findings indicated that Dor's operation is superior
to the linear method.
Jpn. J. Cardiovasc. Surg. 32：243 -245 (2003) |
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