Left Ventricular Aneurysm Ventricular Assist

Author: Fawwaz Shaw, MD; Nahush Mokadam, MD
Institution: University of Washington
Date Reviewed: August 2014
Learning Domain: Adult Cardiac Surgery
Learning Objective: Ventricular Aneurysm, Left Ventricular Assist
PowerPoint File: Left Ventricular Aneurysm Ventricular Assist

Discussion Points for Conference

• Optimal Medical Management
• Indications for Surgical Intervention
•  Role of Ventricular restoration?
  • Dor Procedure ?
  • Batista procedure ?
• Role of Ventricular Assist
  • Temporary ?
  • Destination ?
• Role of Transplantation

Learning Points

• Large aneurysm rare in North America
• Aggressive management of myocardial infarction
• Ventricular remodeling
• Ventricular  assist can be challenge with no apex of LV
• Inferior wall inflow cannulation possible with good results for LV assist
• Ventricular restoration not always enough as therapy for CHF