Surgical treatment of patients with a postinfarction aneurysm of the left ventricle and postinfarction incompetence of the mitral valve

• Published in: Vestnik hirurgii im. I.I. Grekova Vol. 166; no. 4; p. 66
• Main Authors: Belevitin, A B, Shilov, V V, Khubulava, G G, Sidel'nikov, V O, Volkov, A M
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 2007
• Subjects: Coronary Artery Bypass - methods; Heart Aneurysm - etiology; Heart Aneurysm - surgery; Heart Ventricles - physiopathology; Heart Ventricles - surgery; Humans; Male; Middle Aged; Mitral Valve Insufficiency - etiology; Mitral Valve Insufficiency - surgery; Myocardial Infarction - complications; Severity of Illness Index; Ventricular Dysfunction, Left - etiology; Ventricular Dysfunction, Left - physiopathology
• ISSN: 0042-4625

The authors have analyzed results of treatment of 18 patients with postinfarction aneurysms of the left ventricle (PALV) and postinfarction insufficiency of the mitral valve (PIMV) operated upon after examination. It is considered that both the mitral valve (MV) replacement and some kind of plasty, which is more preferable, can be used in patients with PALV and PIVM in order to recover the closing function of MV. Dosed resection of PALV and its plasty by the Dor-II Jatene method allowed the LV cavity geometry to be reestablished and thus the MV fibrous ring sizes to be reduced as well as the degree of the valve insufficiency. It is expedient to use the method of cardioplagia in such patients and to fulfill proximal anastomoses with the aorta at the lateral pulled position on the working heart and then to start extracorporeal circulation.