# A Novel Modified Off-Pump Linear Closure Technique of Left Ventricular Aneurysm - A Case Report

## TL;DR

This case report introduces a new surgical technique for treating left ventricular aneurysms using a Foley catheter without heart-lung bypass.

## Contribution

A novel off-pump linear closure technique using a Foley catheter for left ventricular aneurysm repair is first reported.

## Key findings

- The modified technique was successfully used for aneurysm repair without cardiopulmonary bypass.
- This approach may reduce surgical risks by avoiding the use of heart-lung machines.

## Abstract

Left ventricular aneurysm is an important mechanical complication of myocardial
infarction, and its reported incidence after myocardial infarction varies
between 10 and 35%. Left ventricular aneurysms in patients with angina pectoris,
congestive heart failure, malignant ventricular arrhythmias, and systemic
embolization should be surgically repaired. In this paper, we present a novel
modified off-pump linear closure technique performed by using a simple Foley
catheter for hemostasis on beating heart without cardiopulmonary bypass for the
surgical treatment of left ventricular aneurysm. To the best of our knowledge,
this is the first reported case of such an approach in the literature.