Surgery for left ventricular aneurysm: Early and late survival after simple linear repair and endoventricular patch plasty

2005 ◽  
Vol 14 (3) ◽  
pp. 52
Author(s):  
R. Lundblad ◽  
M. Abdelnoor ◽  
J.L. Svennevig
2009 ◽  
Vol 17 (5) ◽  
pp. 490-493 ◽  
Author(s):  
Kasim Oguz Coskun ◽  
Aron Frederik Popov ◽  
Sinan Tolga Coskun ◽  
Jose Hinz ◽  
Jan Dieter Schmitto ◽  
...  

When a left ventricular aneurysm leads to pulmonary congestive symptoms, aneurysmectomy may provide relief. This retrospective study included 269 patients who underwent aneurysmectomy between 1993 and 2002, by the classic Cooley operation in 164 and by Dor ventriculoplasty in 105. There were no significant differences in early and late survival between groups, although the frequency of extended anteroseptal infarction was higher in patients undergoing the Dor procedure. Postoperative echocardiographic findings showed significant improvements in left ventricular function in both groups, in terms of end-diastolic and end-systolic dimensions and ejection fraction. Left ventricular aneurysmectomy significantly improved the clinical status and hemodynamic parameters of symptomatic patients. The choice of surgical technique depends on the extent of the scar segment, especially the presence of an anteroseptal scarred area. The Dor procedure is more suitable for restoring normal left ventricular geometry in patients with extensive septal infarction.


Author(s):  
Hua Wei ◽  
Shoudong Chai ◽  
Changcheng Liu ◽  
Xinsheng Huang ◽  
Chengxiong Gu

2003 ◽  
Vol 75 (4) ◽  
pp. 1205-1208 ◽  
Author(s):  
Yoshihisa Tanoue ◽  
Hiromi Ando ◽  
Fumio Fukumura ◽  
Masayoshi Umesue ◽  
Takayuki Uchida ◽  
...  

2007 ◽  
Vol 134 (4) ◽  
pp. 1017-1024.e1 ◽  
Author(s):  
Peng Zhang ◽  
Julius M. Guccione ◽  
Susan I. Nicholas ◽  
Joseph C. Walker ◽  
Philip C. Crawford ◽  
...  

2020 ◽  
Vol 23 (6) ◽  
pp. E821-E825
Author(s):  
Onursal Bugra ◽  
Bahadir Daglar

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.


2005 ◽  
Vol 130 (4) ◽  
pp. 1032-1038 ◽  
Author(s):  
Peng Zhang ◽  
Julius M. Guccione ◽  
Susan I. Nicholas ◽  
Joseph C. Walker ◽  
Philip C. Crawford ◽  
...  

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