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Left Ventricle Pseudoaneurysm Repair and CABG Through the Left Anterior Minithoracotomy
We are presenting the case of minimally invasive repair of large left ventricle inferior pseudoaneurysm and concomitant CABG procedure. The patient was a 63-year-old man who presented with shortness of breath and severe angina pectoris.
The operation plan consisted of left anterior minithoracotomy in 4th intercostal space, left internal mammary artery harvesting, peripheral cannulation for cardiopulmonary bypass, aortic cross-clamp and cardioplegia administration, pseudoaneurysm repair and LIMA to LAD anastomosis. Postop ECHO showed better EF and reduction of MV insufficiency from moderate to minimal.
The patient spent two days in ICU and discharged home on the 6th postoperative day.
- Babliak O, Demianenko V, Melnyk Y, Revenko K, Babliak D, Stohov O, Pidgayna L. Multivessel Arterial Revascularization via Left Anterior Thoracotomy. Semin Thorac Cardiovasc Surg. 2020 Winter;32(4):655-662. doi: 10.1053/j.semtcvs.2020.02.032. Epub 2020 Feb 28. PMID: 32114114.
- Babliak O, Demianenko V, Melnyk Y, Revenko K, Pidgayna L, Stohov O. Complete Coronary Revascularization via Left Anterior Thoracotomy. Innovations (Phila). 2019 Aug;14(4):330-341. doi: 10.1177/1556984519849126. Epub 2019 May 20. PMID: 31106625.
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