Document Detail

Results of surgical therapy in patients with left ventricular aneurysm.
MedLine Citation:
PMID:  6641757     Owner:  NLM     Status:  MEDLINE    
The clinical, angiographic and haemodynamic findings in 87 patients with left ventricular aneurysm were investigated before and after different surgical interventions. Thirty-four patients underwent aneurysmectomy alone (group I), 35 patients had additional coronary revascularization (group II), and 18 patients had revascularization alone because of the findings during operation (group III). The size of aneurysm was not significantly different in the three groups. Postoperatively, it decreased only in groups I and II. The majority of the patients in group I (predominantly one-vessel disease) had no angina pectoris, with no significant change early and late (more than 12 months) after operation. The patients in groups II and III (with more two- and three-vessel diseases) showed an improvement in angina pectoris. Preoperatively, most patients had experienced exertional dyspnoea. Overall, there was no significant change after operation, but most patients showed an improvement in angina and dyspnoea when these symptoms had been the major indication for surgical therapy. Heart rate, systolic and end-diastolic pressures in the three groups did not change significantly after surgery. End-diastolic and end-systolic volumes decreased and ejection fraction increased significantly in groups I and II. In group III these variables did not change. Circumferential fibre shortening velocity in the residual ventricle increased significantly only in group I. Haemodynamic studies during exercise were performed in a total of 32 patients. In group I the increase of mean pulmonary pressure was significantly lower postoperatively; there was no significant change in groups II and III.(ABSTRACT TRUNCATED AT 250 WORDS)
J Jehle; M Heerdt; P Spiller; F Loogen; A Krian; H D Schulte
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European heart journal     Volume:  4     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1983 Sep 
Date Detail:
Created Date:  1984-01-27     Completed Date:  1984-01-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  639-46     Citation Subset:  IM    
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MeSH Terms
Heart Aneurysm / physiopathology,  radiography,  surgery*
Heart Ventricles
Middle Aged
Outcome and Process Assessment (Health Care)

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

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