Jignesh Kothari
UN Mehta Institute of Cardiology and Research Centre, India
Title: Surgical repair of multiple congenital left ventricular aneurysms with rupture into left atrium
Biography
Biography: Jignesh Kothari
Abstract
Congenital left ventricular aneurysm (CLVA) is a rare disease. Patients with multiple congenital LVAs are even rare. Clinical presentation of CLVAs varies and is usually diagnosed by exclusion. Very few cases of successfully operated multiple congenital aneurysms with rupture into left atrium (LA) have been reported. We report a case of 17 year old male who presented with progressively increasing breathlessness of congestive heart failure. He was diagnosed to have two CLVAs with one rupturing into LA, for which he underwent aneurysmectomy and closure of LA perforation. Aft er aneurysmectomy, the lateral wall aneurysm (aneurysm A) was closed linearly in two layers over tefl on felt; while the inferior wall aneurysm (aneurysm B) was closed using patch at neck of aneurysm and linear closure of walls of aneurysm over the patch. We discuss the diagnostic process, the surgical correction and a brief review of the medical literature of this extremely rare disease.