Left ventricular aneurysm repair: an assessment of surgical treatment modalities

Vural, Kerem M.; Şener, Erol; Özatık, Mehmet Ali; Taşdemi̇r, Oğuz; Bayazıt, Kemal

doi:10.1016/s1010-7940(97)00287-x

Cited by 35 publications

(42 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On purely theoretic considerations [9][10][11], patch remodeling of postinfarction LV aneurysms improves ventricular geometry, thus contributing to better early and late outcome [12][13][14]. But some retrospective clinical studies failed to demonstrate any difference between linear and patch repairs [15][16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Left ventricular aneurysms: early and long-term results of two types of repair☆

Antunes¹,

Silva²,

Oliveira³

et al. 2005

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Left ventricular aneurysms: early and long-term results of two types of repair☆

Antunes¹,

Silva²,

Oliveira³

et al. 2005

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…Etiologies that might have a role in early mortality are the absence of angina, presentation with dyspnea, long aortic cross clamping time, recent myocardial infarction, lower ejection fraction, multivessel disease, right coronary artery disease, and incomplete revascularization in earlier studies. 9,10) In our study, it seemed additional revascularization was beneficial, and the presence of thrombus had negative effects on early mortality in univariate analysis. Nevertheless, neither had an effect in multivariate analysis.…”

Section: Discussionmentioning

confidence: 55%

“…Nevertheless, the effects of these techniques on mortality are controversial. 8,9,16) In a study which compared classic linear repair vs. endoventricular patch plasty, the early mortality rates were found to be 7.8% vs 20%, respectively. 17) In our study, classic aneurysmectomy and plication were used as the technique for LVA surgery in a vast majority of patients.…”

Section: Discussionmentioning

confidence: 99%

Short and Long Term Survival of Surgical Treatment of Left Ventricular Aneurysms. Ten Years Experience.

Ural

Yüksel²,

Pehlivanoğlu³

et al. 2002

Jpn Heart J

View full text Add to dashboard Cite

SUMMARYAlthough surgical treatment of left ventricular aneurysms has been performed for a long time, it is still a point of debate. In this study, we investigated 159 patients who had undergone surgery for a left ventricular aneurysm in our clinic between 1985 and 1994. Perioperative mortality, long term survival rates, and parameters which probably affect these ratios were evaluated. All of the patients except one were followed by clinical records, mail or phone. Classic linear repair (111 cases), plication (46 cases), and Dor plasty (2 cases) were performed. Revascularisation procedure was also performed in 140 (88%) cases. The average number of distal anastomosis was 2.6. Twenty cases (12.6%) died in the perioperative period. The most important parameter which affected early mortality was the requirement for an intra-aortic balloon pump in the postoperative period. Mean follow-up duration was 47±35 months. Forty-two late deaths occurred in this period. The overall 5-year survival rate was 71%. Predictors for long term mortality were related to preoperative left ventricular function, presence of congestive heart failure, and poor functional capacity. The type of surgery did not affect short and long term survival. The functional capacity of the survivors was improved.In conclusion, surgical treatment of left ventricular aneurysms with classic linear repair and plication had acceptable short and long term survival rates and improved functional capacity. The most important predictor of survival in either the early or late postoperative period was preoperative left ventricular function. (Jpn Heart J 2002; 43: 379-387)

show abstract

“…Ventricular arrhythmia in the history of patients with left ventricular aneurysm indicates reduced long-term survival (9). Ventricular arrhythmia arises in the border zone between viable and dead myocardium.…”

Section: Discussionmentioning

confidence: 99%