Left ventricular aneurysm: Truths and falsehoods

Zioło, J.; Ramotowski, Bogumił; Zaborska, Beata; Wojdyga, Ryszard; Miśko, Jolanta; Budaj, Andrzej

doi:10.33963/kp.a2022.0293

Cited by 2 publications

(2 citation statements)

References 5 publications

(5 reference statements)

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“…The thin calcified wall of the left ventricular apex was a ticking time bomb, and it could have presented itself earlier as sudden cardiac death. However, contained ruptures can be clinically silent, or they can present as mild unspecific clinical scenarios, including pericarditis [1]. Overall, contained ventricular wall with pseudoaneurysm formation has a poor prognosis if not subject to surgical repair.…”

mentioning

confidence: 99%

Subacute pericarditis following calcified ischemic apical aneurysm rupture and pseudoaneurysm formation

Sá Couto,

Santos,

Trêpa

et al. 2023

Kardiol Pol

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mentioning

confidence: 99%

Subacute pericarditis following calcified ischemic apical aneurysm rupture and pseudoaneurysm formation

Sá Couto,

Santos,

Trêpa

et al. 2023

Kardiol Pol

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“…Наявність безбольової форми ішемії міокарда на тлі інсулінорезистентності призводить до несвоєчасної реваскуляризації міокарда пацієнтам з гострим коронарним синдромом та спричиняє виникнення ускладнених форм ішемічної хвороби серця [10,11,12,13]. Постінфарктна аневризма лівого шлуночка (АЛШ) може призвести до тромбоемболії, життєво загрозливих шлуночкових порушень ритму, прогресування серцевої недостатності, розриву серця та потребує своєчасного кардіохірургічного лікування, періопераційний перебіг якого може ускладнитися за наявності порушень обміну вуглеводів [14,15,16,17,18,19].…”

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The Influence of Carbohydrate Metabolism Disorders on the Course of Perioperative Period in Cardiac Surgery Patients with Post-Infarction Left Ventricular Aneurysms

Gogayeva

2023

ujcvs

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The aim. To study the impact of carbohydrate metabolism disorders on perioperative period in cardiac surgery pa-tients with post-infarction left ventricular (LV) aneurysms. Materials and methods. Retrospective analysis of perioperative period in random 132 patients with post-infarction LV aneurysms of various locations, who were operated on and discharged from the department of surgical treatment of ischemic heart disease of the National Amosov Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine. Disorders of carbohydrate metabolism (DCM) were detected in 98 (74.2%) patients, among whom type 2 diabetes mellitus (DM) was diagnosed in 34 (25.7%) patients, impaired glucose tolerance (IGT) in 64 (48.5%). All the patients underwent general clinical examination, electrocardiography, echocardiography, coronary angiography and surgical treatment. Results. When analyzing the clinical picture in patients with post-infarction LV aneurysms, painless myocardial isch-emia was diagnosed in 41 (31.06%) patients, among whom type 2 DM in 11 (26.8%) cases and IGT in 18 (43.9%). No statistically significant difference was found in patients with and without DCM in the LV contractile function, presence of LV thrombosis, atrial fibrillation, chronic kidney disease, stenosis of brachiocephalic arteries and arteries of the lower extremities, gouty arthritis, and body weight. Intraoperatively, diameter of the coronary arteries in patients with type 2 DM was slightly smaller compared to patients without DCM. Its increase in cases of calcification of coronary arteries and aorta among patients of the study group with DCM was statistically insignificant. A careful analysis of the postoperative period in patients with and without DCM showed a statistically significant occurrence of paroxysms of atrial fibrillation in 30 (90.9%) and 3 (9.1%) cases, respectively (p=0.0115). The patients with DCM had longer stay in the intensive care unit: 4.03 ± 2.3 vs. 3.2 ± 1.3 days (p=0.0483). Acute kidney injury in the early postoperative period occurred in 8 (6.06%) patients, including 5 (62.5%) with type 2 DM (p=0.0142). Sternal wound infection occurred in 2 (1.5%) patients with type 2 DM (p=0.0156). Conclusions. Among cardiac surgical patients with postinfarction LV aneurysms, the major part is formed by patients with DCM (74.2%), the presence of which complicates the course of the postoperative period with the development of paroxysms of atrial fibrillation (p=0.0115), acute kidney injury (p=0.0142), sternal wound infection (p=0.0156), a long stay in the intensive care unit (p=0.0483).

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Left ventricular aneurysm: Truths and falsehoods

Cited by 2 publications

References 5 publications

Subacute pericarditis following calcified ischemic apical aneurysm rupture and pseudoaneurysm formation

Subacute pericarditis following calcified ischemic apical aneurysm rupture and pseudoaneurysm formation

The Influence of Carbohydrate Metabolism Disorders on the Course of Perioperative Period in Cardiac Surgery Patients with Post-Infarction Left Ventricular Aneurysms

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