| Repair of the left ventricular aneurysm: twenty-two years of experience with long-term results. | |
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MedLine Citation:
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PMID: 10637391 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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METHODS: 1. All patients had preoperative investigations including coronary angiography and left ventriculography. 2. Clinical symptoms, functional outcome and survival rate were analyzed from medical records, patient's follow-up visits, and communications from the referring physicians. 3. All survivors were assessed for clinical functional status and survival rate at the most recent follow-up visits. MAIN OUTCOME MEASURES: long-term postoperative survival rate and the improvement of clinical outcomes. RESULTS: Repair of the left ventricular aneurysm alone was performed in 9 patients (19.15%). Repair of the left ventricular aneurysm combined with coronary artery bypass grafting was performed in 38 patients (80.85%). There was only one death (2.13%) in this study. There was a significant increase in the postoperative mean ejection fraction (EF) of the left ventricle (LV) of 16.83+/-4.93% (p < 0.01) when compared to the preoperative mean EF of the LV. Long-term follow-up of linear repair of the left ventricular aneurysm at a mean of 12.96 years was carried out. 78.13% of patients clinically improved according to the New York Heart Association (NYHA) functional class and Kaplan-Meier's method long-term survival rate of 66.61%. CONCLUSION: Left ventricular aneurysm was best managed by surgical repair with improvement in quality of life. |
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Authors:
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S Surakiatchanukul |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Volume: 5 ISSN: 1341-1098 ISO Abbreviation: Ann Thorac Cardiovasc Surg Publication Date: 1999 Dec |
Date Detail:
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Created Date: 2000-02-10 Completed Date: 2000-02-10 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9703158 Medline TA: Ann Thorac Cardiovasc Surg Country: JAPAN |
Other Details:
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Languages: eng Pagination: 396-401 Citation Subset: IM |
Affiliation:
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Division of Thoracic and Cardiovascular Surgery, Vajira Hospital, 681 Samsen Road, Bangkok 10300, Thailand. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Cause of Death Coronary Angiography Coronary Artery Bypass Female Follow-Up Studies Gated Blood-Pool Imaging Heart Aneurysm / surgery* Humans Longitudinal Studies Male Middle Aged Postoperative Complications Quality of Life Retrospective Studies Stroke Volume / physiology Survival Rate Treatment Outcome Ventricular Function, Left / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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