Document Detail

Repair of left ventricular pseudoaneurysms.
MedLine Citation:
PMID:  20124295     Owner:  NLM     Status:  MEDLINE    
The outcomes of 3 different methods of repair of left ventricular pseudoaneurysm after myocardial infarction were analyzed retrospectively. The operations were carried out in 22 patients between 1985 and 2008. Repair procedures included primary closure with Teflon-pledgeted sutures, and Dacron or pericardial patches. Overall hospital mortality was 27.3% (2 patients had primary closure, 3 had a Dacron patch, and 1 had a pericardial patch). Mean postoperative bleeding was 885 mL (range, 200-4,800 mL). Mean preoperative and postoperative ejection fractions were 40% (30%-47%) and 48% (30%-65%), respectively. The overall incidence of arrhythmia was 36.4% (8 patients). The incidence of arrhythmia was lowest in the pericardial patch group, but this was not statistically significant. No significant differences in postoperative ejection fraction or hemorrhage were found among the study groups. Mean survival was 61.9 + or - 41.4 months in the 16 hospital survivors. Although the 3 techniques gave similar results, repair with an autologous pericardial patch may offer an advantage in terms of less postoperative arrhythmias.
Ali Fedakar; Onursal Bugra; Alper Onk; Ilker Mataraci; Ercan Eren; Rahmi Zeybek
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  18     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-03-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  39-43     Citation Subset:  IM    
Department of Cardiovascular Surgery, Kartal Kosuyolu Yuksek Ihtisas Training and Research Hospital, 34846 Kartal, Istanbul, Turkey.
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MeSH Terms
Aged, 80 and over
Aneurysm, False / etiology,  surgery*
Cardiac Surgical Procedures / methods*
Heart Ventricles / surgery*
Hospital Mortality
Middle Aged
Myocardial Infarction / complications
Postoperative Complications / prevention & control
Retrospective Studies
Survival Analysis
Suture Techniques
Treatment Outcome
Ventricular Dysfunction, Left / etiology,  surgery

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