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