Emergency Institute for Cardiovascular Diseases "Prof. Dr. C.C. Iliescu", Bucharest, Romania.
Department of Cardio-Thoracic Pathology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
In Vivo. 2021 May-Jun;35(3):1901-1905. doi: 10.21873/invivo.12455.
BACKGROUND/AIM: Left ventricular aneurysms are complications following acute myocardial infarction. Left posterior left ventricular aneurysms occurring in a submitral position constitute a minor entity, and those leaving the mitral apparatus intact are extremely rare.
Herein, we report the case of a 58-year-old patient with a past medical history of coronary artery disease and myocardial infarction with a giant left posterior left ventricular aneurysm with moderate mitral valve incompetence.
The patient underwent myocardial revascularization and, through a transaneurysmal approach, successful endoventricular pericardial patch wall reconstruction with no impact on mitral valve competence.
Whenever the mitral valve is not affected, a trans aneurysmal approach with endoventricular pericardial patch in association with myocardial revascularization represents a safe and reproducible approach with good functional outcomes.
背景/目的：左心室室壁瘤是急性心肌梗死的并发症。发生在前侧下壁的左心室后下壁室壁瘤是一种较少见的实体，而不影响二尖瓣装置的室壁瘤则极为罕见。
在此，我们报告了 1 例 58 岁患者的病例，该患者有冠心病和心肌梗死病史，伴巨大左心室后下壁室壁瘤伴中度二尖瓣关闭不全。
患者接受了心肌血运重建，并通过经瘤途径成功地进行了心室内心包补片的室壁重建，对二尖瓣的功能没有影响。
只要二尖瓣不受影响，经瘤途径联合心室内心包补片的心肌血运重建是一种安全且可重复的方法，具有良好的功能结果。
