Minimally Invasive Cardiac Surgery for Left Ventricular Aneurysm with Large Mobile Thrombus Formation after Chemotherapy for Malignant Lymphoma

Ko Shibata＊

Takuya Matsushiro＊

Yuhi Nakamura＊

（Department of Cardiovascular Surgery, NTT Medical Center Tokyo＊, Tokyo, Japan）

We report a case of minimally invasive surgery（MICS）for left ventricular aneurysm with a large mobile thrombus, which appeared after chemotherapy for malignant lymphoma. A 42-year-old man with a postinfarction left ventricular aneurysm was admitted to our hospital to receive chemotherapy for malignant lymphoma. Eight days after the first administration of anticancer drugs, echocardiography revealed a large mobile thrombus in the left ventricular aneurysm that was absent on admission. The patient was referred to our department, and left ventricular endoplasty was performed through a small left thoracotomy. He recovered rapidly, and chemotherapy was resumed a month after surgery. This suggests MICS to be a valuable option for left ventricular aneurysm repair.

 

Jpn. J. Cardiovasc. Surg. 48:316-319（2019）

Keywords：minimally invasive cardiac surgery;left ventricular aneurysm;malignant lymphoma