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Left Ventricular Aneurysm Repair for the Management of Left Ventricular Dysfunction

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Surgical Options for the Treatment of Heart Failure

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 225))

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Abstract

Although left ventricular aneurysms had previously been described by Hunter and others through their autopsy work it was not until the 1880s that aneurysms were proposed to occur as the result of coronary artery stenosis.1 The relationship between myocardial infarction, fibrosis and aneurysm formation and coronary artery disease was first recognized at that time. Likely Beck was the first to attempt the repair of a post-infarction left ventricular aneurysm when in 1944 he reinforced the ventricular wall with fascia lata.2 Likoff and Bailey followed in 1955 by resecting an aneurysm without cardiopulmonary bypass using a specially designed side-biting left ventricular clamp that could be applied through a thoracotomy incision.3 Subsequently, in 1958 Cooley reported the first successful open repair of a left ventricular aneurysm using cardioplumonary bypass and a buttressed linear closure.4 The surgical repair of left ventricular aneurysms has since evolved to address such issues as left ventricular geometry and ventricular arrhythmias.5-8

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Authors
  1. Lloyd C. Semelhago
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  2. Wilbert J. Keon
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Editor information

Editors and Affiliations

  1. Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada

    Roy G. Masters MD FRCSC

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© 1999 Kluwer Academic Publishers

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Semelhago, L.C., Keon, W.J. (1999). Left Ventricular Aneurysm Repair for the Management of Left Ventricular Dysfunction. In: Masters, R.G. (eds) Surgical Options for the Treatment of Heart Failure. Developments in Cardiovascular Medicine, vol 225. Springer, Dordrecht. https://doi.org/10.1007/978-0-585-29191-8_4

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  • DOI: https://doi.org/10.1007/978-0-585-29191-8_4

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-0-7923-6130-5

  • Online ISBN: 978-0-585-29191-8

  • eBook Packages: Springer Book Archive

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