Document Detail


Repair of the left ventricular aneurysm: twenty-two years of experience with long-term results.
MedLine Citation:
PMID:  10637391     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
S Surakiatchanukul
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
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:
Created Date:  2000-02-10     Completed Date:  2000-02-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  396-401     Citation Subset:  IM    
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Vajira Hospital, 681 Samsen Road, Bangkok 10300, Thailand.
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MeSH Terms
Descriptor/Qualifier:
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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