Left ventricular aneurysms: Surgical treatment

Y. Zepnik, B. A. Vidne, M. J. Levy

Research output: Contribution to journalArticlepeer-review

Abstract

From June 1972 through June 1976, 28 patients underwent ventricular aneurysmectomy. Group I: Seventeen patients underwent aneurysmectomy as a sole procedure. Group II: Eleven patients underwent aneurysmectomy combined with other procedure: Two of them with closure of V.S.D., 7 with aortocoronary bypass (one also with implantation of pacemaker), one with mitral valve replacement and one patient with implantation of pacemaker. Congestive heart failure and angina pectoris were the most common preoperative symptoms. Four patients were urgently operated on; two of them because of intractable ventricular tachyarrhythmia and two patients because of intractable congestive heart failure. Hospital mortality was 3.6% (one patient with closure of V.S.D. Three patients were lost to follow up. Late mortality was 20.8% (5 patients who had undergone aneurysmectomy alone). Comparing Group I with Group II there was no hospital mortality in the first group and 9.1% in the second. Total mortality was 35.7% in the first group and no mortality in the second. Over 90% of our patients have obtained good relief of congestive heart failure while 65% of the patients who had angina pectoris became asymptomatic. The combination of aneurysmectomy and revascularization surgery has not increased the operative risk but the patient's rehabilitation as judged clinically appears to be better.

Original languageEnglish
Pages (from-to)79-84
Number of pages6
JournalJournal of Cardiovascular Surgery
Volume20
Issue number1
StatePublished - 1979

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