Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report
Abstract 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 surger...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-04-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-023-01640-9 |
| _version_ | 1797845803092410368 |
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| author | Yuta Kanazawa Shunsuke Saito Ikuko Shibasaki Taiki Matsuoka Shotaro Hirota Shouhei Yokoyama Yasuyuki Kanno Masahiro Tezuka Go Tsuchiya Taisuke Konishi Koji Ogata Hirotsugu Fukuda |
| author_facet | Yuta Kanazawa Shunsuke Saito Ikuko Shibasaki Taiki Matsuoka Shotaro Hirota Shouhei Yokoyama Yasuyuki Kanno Masahiro Tezuka Go Tsuchiya Taisuke Konishi Koji Ogata Hirotsugu Fukuda |
| author_sort | Yuta Kanazawa |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-09T17:44:49Z |
| format | Article |
| id | doaj.art-3aba918d54e7459d97ad06809bd8b82e |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-04-09T17:44:49Z |
| publishDate | 2023-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-3aba918d54e7459d97ad06809bd8b82e2023-04-16T11:23:39ZengSpringerOpenSurgical Case Reports2198-77932023-04-01911410.1186/s40792-023-01640-9Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case reportYuta Kanazawa0Shunsuke Saito1Ikuko Shibasaki2Taiki Matsuoka3Shotaro Hirota4Shouhei Yokoyama5Yasuyuki Kanno6Masahiro Tezuka7Go Tsuchiya8Taisuke Konishi9Koji Ogata10Hirotsugu Fukuda11Department of Cardiac and Vascular Surgery, Dokkyo Medical UniversityDepartment of Cardiac and Vascular Surgery, Dokkyo Medical UniversityDepartment of Cardiac and Vascular Surgery, Dokkyo Medical UniversityDepartment of Cardiac and Vascular Surgery, Dokkyo Medical UniversityDepartment of Cardiac and Vascular Surgery, Dokkyo Medical UniversityDepartment of Cardiac and Vascular Surgery, Dokkyo Medical UniversityDepartment of Cardiac and Vascular Surgery, Dokkyo Medical UniversityDepartment of Cardiac and Vascular Surgery, Dokkyo Medical UniversityDepartment of Cardiac and Vascular Surgery, Dokkyo Medical UniversityDepartment of Cardiac and Vascular Surgery, Dokkyo Medical UniversityDepartment of Cardiac and Vascular Surgery, Dokkyo Medical UniversityDepartment of Cardiac and Vascular Surgery, Dokkyo Medical UniversityAbstract 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.https://doi.org/10.1186/s40792-023-01640-9Minimally invasive cardiac surgeryLeft ventricle aneurysm |
| spellingShingle | Yuta Kanazawa Shunsuke Saito Ikuko Shibasaki Taiki Matsuoka Shotaro Hirota Shouhei Yokoyama Yasuyuki Kanno Masahiro Tezuka Go Tsuchiya Taisuke Konishi Koji Ogata Hirotsugu Fukuda Minimally invasive cardiac surgery via bilateral thoracotomy in treatment of left ventricle aneurysm: a case report Surgical Case Reports Minimally invasive cardiac surgery Left ventricle aneurysm |
| 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 | Minimally invasive cardiac surgery Left ventricle aneurysm |
| url | https://doi.org/10.1186/s40792-023-01640-9 |
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