Document Detail

Elective operations for post-infarction left ventricular aneurysms.
MedLine Citation:
PMID:  1257939     Owner:  NLM     Status:  MEDLINE    
During a two-year period (February 1973 to February 1975) 20 consecutive patients with post-infarction left ventricular aneurysm, seen at the Wessex Cardiac and Thoracic Centre, underwent aneurysmectomy with or without aorta-to-coronary artery saphenous vein bypass grafts, ventricular septal defect closure, or valve replacement. The diagnoses were established by clinical means, plain chest radiographs, left ventriculography, and selective coronary arteriography. The indications for surgery were uncontrollable congestive heart failure and angina, ventricular arrhythmias, or a rapidly growing aneurysm. Low cardiac indices or high left ventricular end-diastolic pressure were not considered to be contraindications to operation. Resection of the left ventricular aneurysm was performed with the use of normothermic cardiopulmonary bypass with haemodilution. In addition to the aneurysmectomy, four of these patients had concomitant closure of post-infarction ventricular septal defects; four had valve replacements; two had grafts to coronary arteries; and one had both replacement of the mitral valve and a right coronary vein graft. There were two hospital deaths (10%) and two late deaths (10%), making an overall mortality of 20%. All but one of the deaths were related to coronary artery disease. The survivors are active, and their rehabilitation was satisfactory. The longest survivor is doing well two years after left ventricular aneurysmectomy, ventricular defect closure, and tricuspid valve replacement. It is evident from our experience and from the reports of others that surgery has an established place in the management of post-infarction left ventricular aneurysm.
C G Sbokos; J L Monro; J K Ross
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Thorax     Volume:  31     ISSN:  0040-6376     ISO Abbreviation:  Thorax     Publication Date:  1976 Feb 
Date Detail:
Created Date:  1976-06-02     Completed Date:  1976-06-02     Revised Date:  2010-09-07    
Medline Journal Info:
Nlm Unique ID:  0417353     Medline TA:  Thorax     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  55-62     Citation Subset:  IM    
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MeSH Terms
Angina Pectoris / etiology
Arrhythmias, Cardiac / etiology
Heart / radiography
Heart Aneurysm / diagnosis,  etiology,  mortality,  surgery*
Heart Failure / etiology
Heart Valve Prosthesis
Heart Ventricles / surgery
Middle Aged
Myocardial Infarction / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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