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Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report
BACKGROUND: Left ventricle aneurysm (LVA) as a sequela to myocardial infarction or iatrogenic injury is required surgical treatment with full median sternotomy. Herein, we report a case of successful surgical treatment of left ventricle aneurysm performed by minimally invasive cardiac surgery (MICS)...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10102262/ https://www.ncbi.nlm.nih.gov/pubmed/37052756 http://dx.doi.org/10.1186/s40792-023-01640-9 |
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author | Kanazawa, Yuta Saito, Shunsuke Shibasaki, Ikuko Matsuoka, Taiki Hirota, Shotaro Yokoyama, Shouhei Kanno, Yasuyuki Tezuka, Masahiro Tsuchiya, Go Konishi, Taisuke Ogata, Koji Fukuda, Hirotsugu |
author_facet | Kanazawa, Yuta Saito, Shunsuke Shibasaki, Ikuko Matsuoka, Taiki Hirota, Shotaro Yokoyama, Shouhei Kanno, Yasuyuki Tezuka, Masahiro Tsuchiya, Go Konishi, Taisuke Ogata, Koji Fukuda, Hirotsugu |
author_sort | Kanazawa, Yuta |
collection | PubMed |
description | BACKGROUND: Left ventricle aneurysm (LVA) as a sequela to myocardial infarction or iatrogenic injury is required surgical treatment with full median sternotomy. Herein, we report a case of successful surgical treatment of left ventricle aneurysm performed by minimally invasive cardiac surgery (MICS). CASE PRESENTATION: We describe a case of a LVA treated by minimally invasive cardiac surgery in an 82-year-old woman who reported to the hospital with the complaint of chest pains at rest. Computed tomography (CT) coronary angiography revealed a left ventricle apical aneurysm. The aneurysm was suspected to be a pseudoaneurysm caused by a previous myocardial infarction. Surgery was performed under general anesthesia, with the patient in a supine position. A small incision was made in the 3rd intercostal space through which an aortic root vent cannula and aortic clamp were inserted, followed by exposing the aneurysm via incision of the left 6th intercostal space. The aneurysm was resected and pathologically examined, revealing it to be a “true” aneurysm. The left ventricle wall was closed using polypropene mattress sutures. Postoperative CT scan revealed successful resection of the aneurysm. Usually, a surgical treatment with full median sternotomy and left ventriculostomy is indicated for LVA. We decided to treat the LVA with bilateral thoracotomy MICS. We preferred to perform this procedure under cardiac arrest to ensure safe and secure closure of the aneurysm. The right small thoracotomy was necessary for aortic cross-clamping and aortic root venting. CONCLUSIONS: The procedure was safe and simple and yielded excellent postoperative outcomes. Therefore, we speculate that this method can be applied to the management of larger aneurysms. |
format | Online Article Text |
id | pubmed-10102262 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-101022622023-04-15 Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report Kanazawa, Yuta Saito, Shunsuke Shibasaki, Ikuko Matsuoka, Taiki Hirota, Shotaro Yokoyama, Shouhei Kanno, Yasuyuki Tezuka, Masahiro Tsuchiya, Go Konishi, Taisuke Ogata, Koji Fukuda, Hirotsugu Surg Case Rep Case Report BACKGROUND: Left ventricle aneurysm (LVA) as a sequela to myocardial infarction or iatrogenic injury is required surgical treatment with full median sternotomy. Herein, we report a case of successful surgical treatment of left ventricle aneurysm performed by minimally invasive cardiac surgery (MICS). CASE PRESENTATION: We describe a case of a LVA treated by minimally invasive cardiac surgery in an 82-year-old woman who reported to the hospital with the complaint of chest pains at rest. Computed tomography (CT) coronary angiography revealed a left ventricle apical aneurysm. The aneurysm was suspected to be a pseudoaneurysm caused by a previous myocardial infarction. Surgery was performed under general anesthesia, with the patient in a supine position. A small incision was made in the 3rd intercostal space through which an aortic root vent cannula and aortic clamp were inserted, followed by exposing the aneurysm via incision of the left 6th intercostal space. The aneurysm was resected and pathologically examined, revealing it to be a “true” aneurysm. The left ventricle wall was closed using polypropene mattress sutures. Postoperative CT scan revealed successful resection of the aneurysm. Usually, a surgical treatment with full median sternotomy and left ventriculostomy is indicated for LVA. We decided to treat the LVA with bilateral thoracotomy MICS. We preferred to perform this procedure under cardiac arrest to ensure safe and secure closure of the aneurysm. The right small thoracotomy was necessary for aortic cross-clamping and aortic root venting. CONCLUSIONS: The procedure was safe and simple and yielded excellent postoperative outcomes. Therefore, we speculate that this method can be applied to the management of larger aneurysms. Springer Berlin Heidelberg 2023-04-13 /pmc/articles/PMC10102262/ /pubmed/37052756 http://dx.doi.org/10.1186/s40792-023-01640-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Case Report Kanazawa, Yuta Saito, Shunsuke Shibasaki, Ikuko Matsuoka, Taiki Hirota, Shotaro Yokoyama, Shouhei Kanno, Yasuyuki Tezuka, Masahiro Tsuchiya, Go Konishi, Taisuke Ogata, Koji Fukuda, Hirotsugu Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report |
title | Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report |
title_full | Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report |
title_fullStr | Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report |
title_full_unstemmed | Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report |
title_short | Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report |
title_sort | minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10102262/ https://www.ncbi.nlm.nih.gov/pubmed/37052756 http://dx.doi.org/10.1186/s40792-023-01640-9 |
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