An aneurysm of the left ventricle (LV) can develop after a severe myocardial infarction. The affected area of the myocardium is replaced by thin scar tissue that can rupture. The LV undergoes remodeling when the scar stretches as a result of the left ventricular pressure and forms an aneurysm. Left ventricular aneurysmectomy (LVA) is the excision of an aneurysmal portion of the left ventricle. LVA is a form of left ventricular reconstruction undertaken to optimize cardiac function. Select the appropriate actions in preparation for LVA surgery.
A) Place the patient in supine position.
B) Prepare for the procedure in the same manner as typical open-heart surgery.
C) Have Teflon felt pledgets, woven Dacron patches, and cardiovascular sutures available.
D) All of the options are appropriate for LVA.
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