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Eastern Cardiothoracic Surgical Society

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Minimally Invasive Left Ventricular Aneurysm Remodeling
Adam Daly, Edward Soltesz.
Cleveland Clinic, Cleveland, OH, USA.

OBJECTIVE:
We aim to demonstrate the techniques used to perform the novel minimally invasive left ventricular aneurysm remodeling as part of the American Less Invasive Ventricular Enhancement (ALIVE) trial.
METHODS:This case demonstrates the techniques used to perform minimally invasive left ventricular remodeling. Patient selection, intraoperative guidance and postoperative outcomes are discussed.
RESULTS: The patient was discharged well on postoperative day five. The patientís symptoms improved from NYHA III dyspnea to NYHA I, ejection fraction improved from 26% to 35% and left ventricular end-systolic volume index improved from 71ml/m≤ to 39ml/m≤ .
CONCLUSIONS:
Minimally invasive left ventricular aneurysm remodeling may provide a benefit to patients with left ventricular aneurysms, with NYHA III-IV symptoms, ejection fraction less than 45% and left ventricular end-systolic volume index greater than 50ml/m≤ . The results of the ALIVE trial will be instructive.


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