TY - JOUR T1 - Endoventricular Pericardial Patch Repair of a Giant Left Posterior Ventricular Aneurysm JF - In Vivo JO - In Vivo SP - 1901 LP - 1905 DO - 10.21873/invivo.12455 VL - 35 IS - 3 AU - OVIDIU STIRU AU - ROXANA CARMEN GEANA AU - REZA NAYYERANI AU - ANDREEA SIMINA CHIBULCUTEAN AU - ADRIAN TULIN AU - LAURA RADUCU AU - NICOLAE BACALBASA AU - IRINA BALESCU AU - CAMELIA DIACONU AU - FLORENTINA FURTUNESCU AU - DANIEL RADAVOI AU - VLAD ANTON ILIESCU Y1 - 2021/05/01 UR - http://iv.iiarjournals.org/content/35/3/1901.abstract N2 - Background/Aim: Left ventricular aneurysms are complications following acute myocardial infarction. Left posterior left ventricular aneurysms occurring in a submitral position constitute a minor entity, and those leaving the mitral apparatus intact are extremely rare. Case Report: Herein, we report the case of a 58-year-old patient with a past medical history of coronary artery disease and myocardial infarction with a giant left posterior left ventricular aneurysm with moderate mitral valve incompetence. Results: The patient underwent myocardial revascularization and, through a transaneurysmal approach, successful endoventricular pericardial patch wall reconstruction with no impact on mitral valve competence. Conclusion: Whenever the mitral valve is not affected, a trans aneurysmal approach with endoventricular pericardial patch in association with myocardial revascularization represents a safe and reproducible approach with good functional outcomes. ER -