Volume 30, Issue 173, July 2026

Surgical Ventricular Reconstruction and Aortic-Coronary Bypass Grafting in a Patient with Left Ventricular Aneurysm: Case Report and Literature Review

Dominika Wiśniewska¹, Michał Klimas¹, Martyna Winiarska^1♦, Dominik Jucha¹, Arkadiusz Jamro², Sabina Krupa-Nurcek³

¹Student of the Faculty of Medicine, Collegium Medicum, University of Rzeszów, Rzeszów, Poland
²Medical Center ZOZ 2 in Rzeszów, Rzeszów, Poland
³Faculty of Medicine, Collegium Medicum, University of Rzeszów, Rzeszów, Poland

^♦Corresponding author
Martyna Winiarska, Student of the Faculty of Medicine, Collegium Medicum, University of Rzeszów, Rzeszów, Poland

ABSTRACT

Heart failure (HF) is a chronic disorder in which the heart muscle is unable to pump blood effectively, resulting in an inadequate supply of oxygen and nutrients to tissues (including the heart muscle itself). With time, HF leads to ischemic heart disease (IHD), which is associated with narrowing of the coronary arteries, impaired myocardial perfusion, oxygen deficit, and damage. The article shows the case of a 69-year-old man with ischemic heart disease and left ventricular aneurysm, and multiple comorbidities such as myocardial infarction, atrial fibrillation, and previous cardiac procedures. The patient underwent surgical ventricular reconstruction (SVR) combined with coronary artery bypass grafting (CABG). The course of the operation was successful. A review of the available literature indicates that performing SVR combined with CABG can significantly improve heart function in people with ischemic cardiomyopathy. Nevertheless, these interventions carry a significant risk of complications – such as infections, bleeding, myocardial infarction recurrence, and neurological events – which limit their usefulness for many patients. New therapeutic options that include shockwave therapy (SWT), used in combination with CABG, and early use of sacubitril/valsartan treatment after CABG, have demonstrated promising results in improving the function of the heart muscle and decreased risk of rehospitalizations.

Keywords: CABG, SVR, ischemic heart disease, cardiac failure, cardiac surgery

Medical Science, 2026, 30, e122ms3862

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Published: 12 July 2026