Minimally invasive surgery via bilateral thoracotomy for treating left ventricular aneurysm with concomitant ventricular septal rupture
Abstract Background Full median sternotomy is the traditional approach for the treatment of left ventricular aneurysms (LVA) with or without concomitant ventricular septal rupture (VSR). However, it has some disadvantages such as reduced breathing and exercise thoracic stability, which may increase...
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BMC
2025-02-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-025-03355-4 |
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| author | Qianzhen Li Xiaodong Chen Weiye Xu Liangwan Chen |
| author_facet | Qianzhen Li Xiaodong Chen Weiye Xu Liangwan Chen |
| author_sort | Qianzhen Li |
| collection | DOAJ |
| description | Abstract Background Full median sternotomy is the traditional approach for the treatment of left ventricular aneurysms (LVA) with or without concomitant ventricular septal rupture (VSR). However, it has some disadvantages such as reduced breathing and exercise thoracic stability, which may increase the surgical risk for older or fragile patients. Herein, we report a case of successful minimally invasive bilateral thoracotomy. Patient and method A 79-year-old male patient visited our center complaining of breathlessness and orthopnea 21 days after an acute myocardial infarction and percutaneous coronary intervention. An LVA (34.7 mm × 44.4 mm) and a VSR with a diameter of 10 mm close to the apex was detected by echocardiography. Bilateral thoracotomy was performed via two incisions: a 3 cm incision at the right 3rd intercostal space for the aortic root and left atrium vent cannula and aortic clamping; a 7 cm incision at the left 5th intercostal space to expose the apex for LVA and VSR repair. The patient was discharged 7 days postoperatively without any complications. Conclusion LVA with or without VSR can be successfully repaired via bilateral thoracotomy with promising outcomes. |
| format | Article |
| id | doaj-art-97db01d70c7e45b4852f9926a42d169c |
| institution | DOAJ |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-97db01d70c7e45b4852f9926a42d169c2025-08-20T02:54:37ZengBMCJournal of Cardiothoracic Surgery1749-80902025-02-012011310.1186/s13019-025-03355-4Minimally invasive surgery via bilateral thoracotomy for treating left ventricular aneurysm with concomitant ventricular septal ruptureQianzhen Li0Xiaodong Chen1Weiye Xu2Liangwan Chen3Department of Cardiovascular Surgery, Union Hospital, Fujian Medical UniversityDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical UniversityDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical UniversityDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical UniversityAbstract Background Full median sternotomy is the traditional approach for the treatment of left ventricular aneurysms (LVA) with or without concomitant ventricular septal rupture (VSR). However, it has some disadvantages such as reduced breathing and exercise thoracic stability, which may increase the surgical risk for older or fragile patients. Herein, we report a case of successful minimally invasive bilateral thoracotomy. Patient and method A 79-year-old male patient visited our center complaining of breathlessness and orthopnea 21 days after an acute myocardial infarction and percutaneous coronary intervention. An LVA (34.7 mm × 44.4 mm) and a VSR with a diameter of 10 mm close to the apex was detected by echocardiography. Bilateral thoracotomy was performed via two incisions: a 3 cm incision at the right 3rd intercostal space for the aortic root and left atrium vent cannula and aortic clamping; a 7 cm incision at the left 5th intercostal space to expose the apex for LVA and VSR repair. The patient was discharged 7 days postoperatively without any complications. Conclusion LVA with or without VSR can be successfully repaired via bilateral thoracotomy with promising outcomes.https://doi.org/10.1186/s13019-025-03355-4Minimally invasive surgeryLeft ventricular aneurysmVentricular septal rupture |
| spellingShingle | Qianzhen Li Xiaodong Chen Weiye Xu Liangwan Chen Minimally invasive surgery via bilateral thoracotomy for treating left ventricular aneurysm with concomitant ventricular septal rupture Journal of Cardiothoracic Surgery Minimally invasive surgery Left ventricular aneurysm Ventricular septal rupture |
| title | Minimally invasive surgery via bilateral thoracotomy for treating left ventricular aneurysm with concomitant ventricular septal rupture |
| title_full | Minimally invasive surgery via bilateral thoracotomy for treating left ventricular aneurysm with concomitant ventricular septal rupture |
| title_fullStr | Minimally invasive surgery via bilateral thoracotomy for treating left ventricular aneurysm with concomitant ventricular septal rupture |
| title_full_unstemmed | Minimally invasive surgery via bilateral thoracotomy for treating left ventricular aneurysm with concomitant ventricular septal rupture |
| title_short | Minimally invasive surgery via bilateral thoracotomy for treating left ventricular aneurysm with concomitant ventricular septal rupture |
| title_sort | minimally invasive surgery via bilateral thoracotomy for treating left ventricular aneurysm with concomitant ventricular septal rupture |
| topic | Minimally invasive surgery Left ventricular aneurysm Ventricular septal rupture |
| url | https://doi.org/10.1186/s13019-025-03355-4 |
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