Left Ventricular Aneurysmorrhaphy

Left ventricular aneurysm are commonly secondary to coronary artery disease. A postinfarction left ventricular aneurysm is a well delineated transmural fibrous scar, virtually devoid of muscle, in which the characteristic fine trabecular pattern of the inner surface of the wall has been replaced by smooth fibrous tissue. In such areas, the wall is usually thin and both inner and outer surfaces bulge outward. During systole, the involved wall segments are akinetic or dyskinetic. Patient with history of myocardial infarction with 2 dimensional echocardiography suggestive of left ventricular aneurysm was evaluated with cardiac computerised tomography scan and underwent surgical correction accordingly. We followed this in post-operative period in terms of cardiac computerised tomography scan and improvement in NYHA functional class. Pre-operative cardiac tomography scan proves valuable in planning surgical intervention and surgery done at right time after medical stabilisation proves to be beneficial for the patient.