**Author details**

Michael S. Firstenberg1\*, Kevin T. Kissling2 and Karen Nelson1

\*Address all correspondence to: Michael.Firstenberg@osumc.edu

1 Division of Cardiac Surgery, U. S. A.

2 Department of Pharmacy, The Ohio State University Medical Center, U. S. A.

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318 Principles and Practice of Cardiothoracic Surgery


**Chapter 12**

**Diagnostics and Surgical Treatment of Left**

Vladimir Shipulin, Vadim Babokin, Sergey Andreev,

Vladimir Usov, Ruslan Aimanov,

http://dx.doi.org/10.5772/54126

Sergey Popov

**1. Introduction**

Anthony Bogunetsky, Roman Batalov and

Additional information is available at the end of the chapter

ventricle (LV) after myocardial infarction [1].

arrhythmogenic endocardium.

**Ventricular Aneurysm with Ventricular Tachycardia**

Left ventricular aneurysm (LVA) in postinfarction period makes for worse prognosis of cor‐ onary artery disease (CAD) course due to concomitant complications. With the natural course of postinfarction aneurysms 5 year survival varies from 25 to 60%, according to vari‐ ous authors. Ventricular arrhythmias cause death in 50% of the patients with remodelled left

Contrast-enhanced magnetic resonance imaging (MRI) is the method of choice for the evalua‐ tion of myocardial viability in patients with chronic CAD and with LVA in particular [2,3,4].

Meanwhile, data of contrast-enhanced MRI pictures with condition of electrophysiological activity and topical diagnosis of ventricular tachycardia in patients who had experienced myocardial infarction complicated with LVA have not been compared. At the same time, need for surgical treatment of cardiac aneurysm combined with intraoperative ablation of arrhythmogenic areas of myocardium arises no doubts since it allows for better treatment

Thus, the objective of our study was to enhance efficacy of topical diagnostics and of surgical treatment in patients with postinfarction LV aneurysms complicated with ven‐ tricular rhythm disorders through application of contrast-enhanced MRI, electrophysio‐ logical study (EPhS) of the heart and optimal dissection or ablation of scarred and

and reproduction in any medium, provided the original work is properly cited.

© 2013 Shipulin et al.; licensee InTech. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

© 2013 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution,

outcomes in the early postoperative period and in the late follow-up [4,5,6].
