An 81-year-old Case of Left Ventricular Aneurysmectomy with Right Coronary Artery Bypass Grafting

Tetsuya Yamamoto, Kanji Kawachi, Yoshihiro Hamada, Tatsuhiro Nakata, Yasuaki Kashu, Hiroshi Takahashi, Yuji Watanabe
1999 Japanese Journal of Cardiovascular Surgery  
An 81-year-old patient, who had a postinfarction left ventricular aneurysm with thrombus underwent left ventricular aneurysmectomy with right coronary artery bypass grafting (CABG). Preoperative examination showed 99% stenosis of the left coronary artery (#7) and 90% stenosis of the right coronary artery (#3). The operation was performed because angina was not improved and formation of thrombus was suspected on the wall of the aneurysm. The operation was performed under cardiopulmonary bypass
more » ... d by antegrade and continuous retrograde cardioplegia. The aneurysm was resected and a relatively fresh thrombus which was detected on the endocardium of the aneurysm was extracted. The left ventricle was closed by direct linear suture with felt reinforcement. Because the area of resection included part of the left anterior descending artery, only right CABG (#3) with a saphenous vein was done. Weaning from bypass was very easy and the postoperative course was uneventful.
doi:10.4326/jjcvs.28.197 fatcat:5n423qg5j5a3dhkgkhlrf5pc6i