Clinical Physiology of Circulation

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Issue's catalogue ➤ КФК. 2024; 21 (1): 1-88 ➤ Бессимптомная постинфарктная аневризма левого желудочка. Диагностика и результат успешного хирургического лечения

Asymptomatic postinfarction aneurysm of the left ventricle. Diagnosis and outcome of successful surgical treatment

Authors: Sokolskaya N.O., Ivanov A.V., Kopylova N.S., Sokolskaya M.A., Alshibaya M.M.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2024-21-1-69-78

UDC: 616.124.2-007.64-089.168

Link: Clinical Physiology of Blood Circulaiton. 2024; 21 (1): 69-78

Quote as: Sokolskaya N.O., Ivanov A.V., Kopylova N.S., Sokolskaya M.A., Alshibaya M.M. Asymptomatic postinfarction aneurysm of the left ventricle. Diagnosis and the results of successful surgical treatment. Clinical Physiology of Circulation. 2024; 21 (1): 69–78 (in Russ.). DOI: 10.24022/1814-6910-2024-21-1-69-78

Keywords:  postinfarction left ventricular aneurysm transesophageal echocardiography surgical treatment of left ventricular aneurysm

Received / Accepted:  13.12.2023 / 11.03.2024

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Abstract

A clinical case of a successfully performed geometric reconstruction of the left ventricle in combination with myocardial revascularization in a patient with an asymptomatic postinfarction aneurysm is presented. In the perioperative period, the method of transesophageal echocardiography was used to clarify the diagnosis, monitor intracardiac hemodynamics, and evaluate the result of the surgical procedure. With the help of the original method introduced into the practice of the Bakoulev National Medical Research Center for Cardiovascular Surgery, the optimal end diastolic volume of the left ventricle was calculated, which is preferably modeled when performing a geometric reconstruction operation.

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****
  1. Bockeria L.A., Sokol’skaya N.O., Alshibaya M.M., Kopylova N.S. Complex echocardiographic assessment of the functional state of the left ventricle myocardium in patients with postinfarction aneurysm. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2021; 22 (3): 364–372 (in Russ.). DOI: 10.24022/1810-0694-2021-22-3-364-372
  2. Bockeria L.A., Abzhuriev M.N. Surgical tactic in postinfarction aneurysm of the left ventricle with functional mitral insufficiency. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2022; 23 (1): 6–15 (in Russ.). DOI: 10.24022/1810-0694-2022-23-1-6-15
  3. Brand Ya.B., Mazanov M.Kh., Ostroumov E.N., Sagirov M.A., Kharitonova N.I., Chumakov M.V., Cher-nyshov D.V. Successful surgical treatment of a giant true aneurysm of the left ventricle (clinical observation). Russian Sklifosovsky Jornal of Emergency Medical Care. 2018; 7 (4): 372–377 (in Russ.). DOI: 10.23934/2223-9022-2018-7-4-372-377
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  10. Carson P., Wertheimer J., Miller A., O’Connor C.M., Pina I.L., Selzman C. et al. STICH Investigators. The STICH trial (Surgical Treatment for Ischemic Heart Failure): 5-year results of surgical ventricular reconstruction. J. Thorac. Cardiovasc. Surg. 2013; 146 (5): 1146–1152. DOI: 10.1016/j.jtcvs.2013.03.010
  11. Ruzza A., Czer L.S.C., Arabia F., Vespignani R., Esmailian F., Cheng W. et al. Left ventricular reconstruction for postinfarction left ventricular aneurysm: Review of surgical techniques. Tex. Heart Inst. J. 2017; 44 (5): 326–335. DOI: 10.14503/THIJ-16-6068
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  15. Sattar Y., Alraies M.C. Ventricular aneurysm. 2023 Apr 3. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. PMID: 32310415.
  16. Wang Y., Gao C.Q., Wang G., Shen Y.S. Effects of surgical ventricular restoration on left ventricular shape, size, and function for left ventricular anterior aneurysm. Chin. Med. J. (Engl.). 2017; 130 (12): 1429–1434. DOI: 10.4103/0366-6999.207467
  17. Wittrup H.H., Tybjaerg-Hansen A., Nordestgaard B.G. Lipoprotein lipase mutations, plasma lipids and lipoproteins, and risk of ischemic heart disease. A meta-analysis. Circulation. 1999; 99 (22): 2901–2907. DOI: 10.1161/01.cir.99.22.2901

About Authors

  • Nadezhda O. Sokolskaya, Dr. Med. Sci., Head of Group; ORCID
  • Aleksey V. Ivanov, Ultrasound Diagnostician; ORCID
  • Natalya S. Kopylova, Senior Researcher; ORCID
  • Mariya A. Sokolskaya, Cand. Med. Sci., Researcher; ORCID
  • Mikhail M. Alshibaya, Dr. Med. Sci., Professor, Head of Department; ORCID

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