Abstract
Postinfarction aneurysm of the left ventricle (PIALV) is one of the most frequent and severe complications of the acute myocardial infarction with ST-segment elevation often accompanied with both coronary and cardiac insufficiency and deterioration of the patient's prognosis. The severity of clinical progression and prognosis in patients with PIALV depends, among other things, on the degree of the left ventricle pumping ability dysfunction. Low EF (ejection fraction) of LV (left ventricle) in these patients leads to bad prognosis in the natural course of disease and significantly increases the risk of surgical treatment of ischemic heart disease (IHD). Presently, active search of the ways to improve surgical treatment results for this category of patients is in progress. One of the ways of improving surgical treatment results in patients suffering from IHD in combination with postinfarction aneurysm of the left ventricle is decrease in the invasiveness of intervention, in particular, due to decrease in the overall time of artificial circulation and refusal of cardioplegic arrest, which is eparticularly topical in case of significantly decreased LV EF. A clinical example of such treatment of a 37-year-old patient is presented.
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About the authors
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Vadim Yu. Merzlyakov, Dr. Med. Sc., Head of Department, orcid.org/0000-0001-5638-3723
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Anton I. Skopin, Cand. Med. Sc., Senior Researcher, orcid.org/0000-0002-4463-0755
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Sevindzh K. Mamedova, Cand. Med. Sc., Junior Researcher, orcid.org/0000-0002-5696-0807
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Ivan V. Klyuchnikov, Dr. Med. Sc., Chief Researcher, orcid.org/0000-0002-8652-9639
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Alisher A. Melikulov, Dr. Med. Sc., Cardiovascular Surgeon, orcid.org/0000-0002-5164-9702
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Adkham K. Dzhalilov, Cand. Med. Sc., Cardiovascular Surgeon
