Surgical Treatment of Left Ventricular Aneurysms: A Comparison of Long-term Follow-up of Left Ventricular Function for Classic Aneurysmectomy and Endoaneurysmorrhaphy Techniques

Erbasan, Ozan; Türkay, Cengiz; Mete, Atalay; Türkay, Mehtap; Golbasi, Ilhan; Yılmaz, Hüseyin; Erdem, Ozan; Bayezid, Ömer

doi:10.1532/hsf98.20091066

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…Lundbald et al [2004] reported that advanced age, 3-vessel disease, and linear repair technique were associated with increased mortality in patients who underwent left ventricular aneurysm repair. However, several studies reported no important significant differences between the 2 techniques in terms of outcomes [Antunes 2005, Erbasan 2009, Mukaddirov 2008, Tavakoli 2002.…”

Section: Discussionmentioning

confidence: 99%

“…Initial reports on endovascular circular patch plasty (Dor procedure) for left ventricular aneurysm repair were promising [Sartipy 2005, Dor 1989], which was followed by several studies comparing this technique or modifications with the linear repair technique, with inconsistent results reporting improved outcomes with the Dor procedure or satisfactory outcomes with both procedures [Chen 2010, Erbasan 2009, Chen 2009, Mukaddirov 2008, Parolari 2007, Baev 2006, Antunes 2005, Lundblad 2004, Benetis 2004, Tavakoli 2002. For example, in line with our findings, Dor et al [2004] reported an increase in ejection fraction during follow-up of patients who received endoventricular repair.…”

Section: Discussionmentioning

confidence: 99%

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Does On-Pump Beating Heart Endoaneurysmorrhaphy Have Advantages over Linear Aneurysmectomy on Arrested Heart in the Short Term?

Bugra

Dağlar²

2020

HSF

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Background: It is still controversial which left ventricular aneurysm repair technique is optimal in terms of early and late results. This study aimed to compare early postoperative outcomes for 2 surgical treatments of postinfarction left ventricular aneurysm: linear repair technique on arrested heart versus endoaneurysmorrhaphy repair with patch plasty on beating heart. Methods: Prospectively collected data from 16 consecutive patients who underwent endoaneurysmorrhaphy repair with patch plasty on beating heart (the technique we have preferred since 2008) were compared with data from a retrospective series of 10 patients who underwent linear repair on arrested heart (the technique we preferred until 2008). All operations were performed under elective conditions. Results: Baseline characteristics of the 2 groups were similar. Complete revascularization for all diseased vessels was achieved in all patients. Durations of cross clamping, cardiopulmonary bypass, intensive care stay, and hospital stay were longer, and postoperative ejection fraction was lower, in the linear repair group compared with the endoaneurysmorrhaphy group (P < .05 for all). Early mortality occurred in 1 patient (3.8%) in the linear repair group. Conclusion: Endoaneurysmorrhaphy repair with patch plasty on beating heart seems to offer advantages over the linear repair technique on arrested heart in the treatment of left ventricular aneurysms. Future large-scale prospective studies with longer follow-up are warranted to draw firm conclusions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Does On-Pump Beating Heart Endoaneurysmorrhaphy Have Advantages over Linear Aneurysmectomy on Arrested Heart in the Short Term?

Bugra

Dağlar²

2020

HSF

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“…выживаемость на фоне медикаментозной терапии варьирует от 47% до 70% [8], при наличии симптомов СН -46% [9]. После хирургической коррекции ПАЛЖ показатель пятилетней выживаемости увеличивается до 90%, а десятилетней -составляет 80% [10]. Основной причиной смерти у пациентов с ПАЛЖ являются желудочковые нарушения ритма, разрыв сердца, СН, повторный ИМ, тромбоэмболические осложнения [7,9].…”

Section: передовая статья обзоры литературыunclassified

Predictors of post-infarction left ventricular aneurysm

2023

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Post-infarction left ventricular aneurysm (LVA) is a complication of myocardial infarction (MI), which is of great clinical importance due to high mortality. Data on its incidence are contradictory. The aim of the review was to highlight the existing and novel predictors of post-infarction LVA, the identification of which will help in identifying high-risk patients in order to optimize their treatment and rehabilitation. Known predictors of post-infarction LVA include pain-to-balloon time, age, female sex, recurrent MI, coronary angiography parameters, echocardiography, and electrocardiography. Increased levels of leukocytes, C-reactive protein, growth differentiation factor, stimulating growth factor, interleukin-1β, interleukin-6, tumor necrosis factor-α, matrix metalloproteinases, proprotein convertase subtilisin-kexin type 9, N-terminal pro-brain natriuretic peptide >400 pg/ml indicate the risk of pathological left ventricular remodeling and LVA. In this connection, there is a need to assess the incidence of post-infarction LVA and a comprehensive assessment of its predictors in patients with MI.

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Surgical approaches to left ventricular reconstruction: a matter of perspective

Doenst

2012

Heart Fail Rev

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Surgical reconstruction of physiological shape and size of a postischemically remodeled left ventricle has been advocated to improve ventricular function and improve patient long-term outcome. What initially started as linear aneurysm resection surgery developed over the years into the endoventricular repair techniques (surgical ventricular reconstruction, SVR) that have also been applied in patients with postischemically dilated ventricles and mainly anterior akinesia. SVR improved function as measured by the ejection fraction. Whether it affects survival was finally tested in the largest surgical trial ever conducted, the STICH trial (Surgical Treatment for IsChemic Heart failure). The trial, however, presented rather sobering information with its Hypothesis 2 outcome by demonstrating identical 5-year survival rates between SVR plus bypass grafting (CABG) and CABG alone. SVR also did not improve quality of life. This neutral finding spawned a series of critical responses with respect to trial design and conduct accompanied by appropriate responses by the trial's leadership. At the end of this dispute, it appears that SVR has been accepted as not very useful for most patients and is less and less performed in daily practice. What remains is a series of different perspectives that will be discussed in this review. The conclusion will be that SVR may be of low value for the patient with dilated and massively remodeled ventricles, but the technique bears therapeutic potential for some patients for different reasons so that the surgeon's ability to perform this operation should not get lost.

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Surgical Treatment of Left Ventricular Aneurysms: A Comparison of Long-term Follow-up of Left Ventricular Function for Classic Aneurysmectomy and Endoaneurysmorrhaphy Techniques

Abstract: LV aneurysm can be repaired with acceptable surgical risk. Surgical treatment of LV aneurysm is associated with an improvement in long-term survival and symptoms.

Cited by 5 publications

References 19 publications

Does On-Pump Beating Heart Endoaneurysmorrhaphy Have Advantages over Linear Aneurysmectomy on Arrested Heart in the Short Term?

Does On-Pump Beating Heart Endoaneurysmorrhaphy Have Advantages over Linear Aneurysmectomy on Arrested Heart in the Short Term?

Predictors of post-infarction left ventricular aneurysm

Surgical approaches to left ventricular reconstruction: a matter of perspective

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