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Cardiosurgery: Left ventricular aneurysm — Cabg and plastic repair of left ventricular aneurysm. Treatment

Left ventricular aneurysm (LVA) is one of the most frequent complications of extensive myocardial infarction. According to statistics, LVA develops is almost 40% of these patients. Aneurysm is thinning of the heart wall section, which loses its ability to contract. Chronic aneurysm wall is a bulging scar tissue, while a thrombotic clot is formed in the resulting "sack" in almost half of patients.

Treatment Tactics

The acute LVA is not an absolute indication for surgical correction. Emergency surgery is required in a situation of progressive heart failure and the threat of aneurysm rupture.

The presence of a chronic LVA increases the risk of thromboembolism and worsens the ischemic heart disease progression, so in most cases the patients are indicated a scheduled surgery. In the preoperative period, the conservative therapy is prescribed to stabilize the patient's condition, i.e. cardiac glycosides, antithrombotic agents, oxygen inhalation, and antihypertensives.

Plastics Methods 

LVA plastics is often combined with revascularization, i.e. restoration of coronary arteries to improve the cardiac blood circulation and prevent the attacks of ischemia. Depending on the location of the aneurysm and its diameter, the professional selects one of the existing methods of plastics, based on the best expected forecast for a given patient. The plastic heart surgeries carried out subject to heart switching off, using the cardiopulmonary bypass and hypothermia. The intracardiac thrombus discovered during surgery is removed.

  • Linear plastics is performed rarely and can be used for aneurysms with a small radius. The surgery implies excision of the scar tissue and linear suturing of the formed defect.
  • Purse-string plastics can be used for small aneurysm located on the apex of the heart. After aneurysm excision, the opening is sutured with a purse-string (circular) suture.
  • Patch plastics implies removal of the diseased tissue of the left ventricle and closing the defect with a patch made of synthetic materials or xenopericardium. The most common technique is endoventricular, upon which the patch is sewn from the inside, from the side of endocardium. Such tactics allows reducing the risk of pericardial adhesions.

The adequately chosen method of LVA plastics and surgery performance by an experienced heart surgeon in a modern specialized center allows counting on a favorable long-term result in 80 to 84% cases.

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University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiac Surgery

CABG and plastic repair of left ventricular aneurysm #361518

The Department of Cardiac Surgery offers the full range of services in this medical field. Many heart operations are performed minimally invasively, which has a positive effect on wound healing, the patient experiences less pain, and the period of hospitalization is significantly reduced.


location_onCountry: Germany
location_searchingCity: Oldenburg

HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiac Surgery

CABG and plastic repair of left ventricular aneurysm #50069

The Department provides treanment for a whole spectrum of adult cardiac surgical diseases, with exception of the heart and lung transplantation.


location_onCountry: Germany
location_searchingCity: Karlsruhe

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Department of Adult and Pediatric Cardiovascular Surgery

CABG and plastic repair of left ventricular aneurysm #383045

The Department of Adult and Pediatric Cardiovascular Surgery offers the full range of services in this medical focus. The department specializes in heart valves surgery, coronary artery bypass grafting, surgical treatment of cardiac arrhythmias and heart failure.


location_onCountry: Germany
location_searchingCity: Krefeld

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiothoracic Surgery

CABG and plastic repair of left ventricular aneurysm #78173

According to the Focus magazine rating of 2017, the Department of Cardiothoracic Surgery at the University Hospital Cologne ranks among the top German departments specializing in cardiac surgery! There are performed over 2,800 operations every year.


location_onCountry: Germany
location_searchingCity: Cologne
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University Hospital Muenster

9.8/10 from 78 Votes

Department of Congenital (CHD) and Acquired Heart Defects

CABG and plastic repair of left ventricular aneurysm #139945

The Department of Congenital (CHD) and Acquired Heart Defects at the University Hospital Muenster is the first Center of Excellence specializing in the treatment of adults with congenital and acquired heart defects on both outpatient and inpatient basis. The second focus is the treatment of acquired defects (e. g.


location_onCountry: Germany
location_searchingCity: Muenster

University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

CABG and plastic repair of left ventricular aneurysm #74759

According to the Focus magazine rating of 2017, the Department of Cardiac, Thoracic and Vascular Surgery ranks among the top German departments specializing in cardiac surgery! The department is a distinguished institution in this field of medicine.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiac Surgery

CABG and plastic repair of left ventricular aneurysm #154675

Performing annually more than 1000 surgeries on the heart, the department of cardiac surgery belongs to the largest centers of cardiac surgery in Munich. Here, the whole range of cardiovascular diseases is treated in adult patients, from emergency cases to heart attack.


location_onCountry: Germany
location_searchingCity: Munich

Hirslanden Clinic Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

CABG and plastic repair of left ventricular aneurysm #89883

The cardiac surgery department of the Hirslanden clinic Aarau was rebuilt since Prof. Dr. med. Thierry Carrel and PD Dr. med Lars Englberger worked here. Both of them are recognized cardiac experts. Prof. Carrel is the director at Inselspital and PD Dr.


location_onCountry: Switzerland
location_searchingCity: Aarau
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Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiac, Thoracic, Transplantation and Vascular Surgery

CABG and plastic repair of left ventricular aneurysm #245239

The Department of Cardiac, Thoracic, Transplantation and Vascular Surgery at the Hannover Medical School is famous for being one of the leading medical facilities in the world.


location_onCountry: Germany
location_searchingCity: Hannover

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Cardiac Surgery

CABG and plastic repair of left ventricular aneurysm #327469

The Department of Cardiac Surgery at Rambam Health Care Campus specializes in performing open and closed heart operations. There is offered a broad spectrum of surgical heart procedures, while the most common of these are coronary artery bypass surgery, valvular heart surgery and a combination of the two.


location_onCountry: Israel
location_searchingCity: Haifa

University Hospital Essen

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

CABG and plastic repair of left ventricular aneurysm #292056

The Department of Thoracic and Cardiovascular Surgery at the Essen University Hospital offers the full range of services in the treatment of heart diseases, requiring surgery, including transplant of chest organs, heart and lung support systems and aortic surgery.


location_onCountry: Germany
location_searchingCity: Essen

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

CABG and plastic repair of left ventricular aneurysm #106315

The Department of Thoracic and Cardiovascular Surgery offers the entire spectrum of cardiothoracic surgery, including heart transplantation and the use of artificial heart systems. A special focus is on the development and the use of minimally invasive surgical techniques.


location_onCountry: Germany
location_searchingCity: Aachen
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University Hospital Duesseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

CABG and plastic repair of left ventricular aneurysm #82715

The Department of Cardiovascular Surgery at the University Hospital Dusseldorf provides the whole range of cardiovascular medicine at the university level. The Department has a long and successful history. Since 1938 more than 50,000 cadiac surgeries were performed here.


location_onCountry: Germany
location_searchingCity: Duesseldorf
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University Hospital Tuebingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

CABG and plastic repair of left ventricular aneurysm #137463

The range of surgical services of the Department of Thoracic and Cardiovascular Surgery at the University Hospital Tubingen covers all surgical and interventional operations in the corresponding fields up to the transplant surgery.


location_onCountry: Germany
location_searchingCity: Tuebingen
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University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiac Surgery

CABG and plastic repair of left ventricular aneurysm #88325

The Department of Cardiac Surgery offers the complete spectrum of cardiac surgery services except heart transplantation.


location_onCountry: Germany
location_searchingCity: Bonn
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University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiac Surgery

CABG and plastic repair of left ventricular aneurysm #255331

The Department of Сardiac Surgery at the University Hospital Erlangen specializes in the surgical treatment of end-stage heart failure, treatment with the use of mechanical hemodynamic support systems and heart transplant. The Department annually performs about 1,600 operations on heart and adjacent vessels.


location_onCountry: Germany
location_searchingCity: Erlangen
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