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KMID : 0364020100430020180
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Korean Journal of Thoracic and Cardiovascular Surgery
2010 Volume.43 No. 2 p.180 ~ p.183
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Surgical Treatment of a Submitral Left Ventricular Aneurysm and the Patient Present with Recurrent Ventricular Tachycardia
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Kim Yong-Sam
Cho Jung-Soo
Yoon Yong-Han
Kim Joung-Taek
Baek Wan-Ki
Kim Kwang-Ho
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Abstract
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Submitral left ventricular aneurysm (SMLVA) is a rare disease entity that exclusively occurs in the black population. We herewith report on a surgical case of SMLVA in a 68-year-old male who presented with ventricular tachycardia. He underwent surgical repair under standard hypothermic cardiopulmonary bypass. In the state of apical elevation, a vertical ventriculotomy was made directly over the aneurysm, which was located at the posterobasal aspect of the left ventricle. Radiofrequency ablation was performed on the endocardium all around the neck of the aneurysm and then patch endoaneurysmorrhaphy was carried out with particular care not to injure the mitral valve and subvalvular structure. His postoperative recovery was uneventful. There has been no dysfunction of the mitral valve or recurrence of the ventricular tachycardia at 2 years’ follow-up.
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KEYWORD
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Surgery, Heart aneurysm, Tachycardia, ventricular
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