SURGICAL TREATMENT: ANEURYSMECTOMY

Q. What is ventricular aneurysm?

A. It is a localized on the wall of the ventricle, formed by a sac-like structure.

After a heart attack a segment of the heart muscle becomes dead and, in the course of time, is repaired by scar tissue. Softening and thinning of the ventricular wall in the scar tissue, aided by the pressure of blood inside the ventricle, cause the aneurysm to be formed.

Q. How does the aneurysm affect the heart?

A. It interferes with the normal pumping action of the heart, causing congestive heart failure and irregular rhythm of the heart.

Q. How do you treat an aneurysm?

A. When the aneurysm is large enough to interfere with normal ventricular function, it is best removed surgically. The operation is called 'aneurysmectomy'.

Q. Can aneurysmectomy and bypass operation be done in the same patient?

A. Yes, in effect the bypass operation will not be of much use if the aneurysm is allowed to remain where it is. Both the operations can and should be done at the same time.

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Cardio & Blood