Document Detail


Incidence of postinfarction aneurysm within one month of infarct. Experiences with sixteen patients in Hawaii.
MedLine Citation:
PMID:  10532201     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We report on sixteen patients with a left ventricular aneurysm presenting at less than a month following myocardial infarction. METHODS: All patients had significant left anterior descending coronary artery disease, and in eight cases (50%), this was the only significant pathology. Two patients who were treated conservatively, died within three months of infarction. RESULTS: Of the fourteen surgically treated patients, one died. There have been two late deaths, one at ten months and the other at four years postinfarction. Patients who present early after infarction, usually have a large anterior aneurysm, requiring early surgical repair with ventricular aneurysmectomy and revascularization. This group of patients showed a higher risk for major complications (such as thrombo-embolism, arrhythmias) and/or death. Emergency coronary artery bypass surgery may prove beneficial in the prevention of aneurysm formation by revascularizing the viable but ischemic tissue in that area.
Authors:
S Premaratne; A M Razzuk; S B Koduru; A Behling; J J McNamara
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  40     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-10-28     Completed Date:  1999-10-28     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  473-6     Citation Subset:  IM    
Affiliation:
Hunter Holmes McGuire Veterans Administration Medical Center and Department of Internal Medicine, Medicine College of Virginia, Virginia Commonwealth University, Richmond 23249, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cross-Sectional Studies
Female
Follow-Up Studies
Hawaii / epidemiology
Heart Aneurysm / diagnosis,  mortality*,  surgery
Humans
Incidence
Male
Middle Aged
Myocardial Infarction / diagnosis,  mortality*,  surgery
Postoperative Complications / mortality
Reoperation
Risk Factors
Survival Rate

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