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Article
August 1963

Surgical Treatment of Ventricular AneurysmReport of Ten Cases

Author Affiliations

CLEVELAND
Formerly, Fellow in the Department of Thoracic Surgery; present address: The Straub Clinic, Honolulu, Hawaii (Dr. Scully).; From the Department of Thoracic Surgery, and the Department of Cardiology, The Cleveland Clinic Foundation.

Arch Surg. 1963;87(2):249-257. doi:10.1001/archsurg.1963.01310140057012
Abstract

Introduction  Aneurysm of the heart was described in 1757 when John Hunter1 included a case report in "An Account of the Dissection of Morbid Bodys." For two centuries ventricular aneurysm has remained an interesting pathologic entity and has been displayed prominently in every major collection of postmortem oddities. Occasionally the diagnosis of ventricular aneurysm was established in the living patient,2 an event of interest to the clinician but not helpful to the patient. The recent advent of open-heart surgery and its application in various types of acquired heart disease has made ventricular aneurysm a correctable lesion. This development removes ventricular aneurysm from the sole realm of the pathologist and makes clinical recognition now mandatory.

Pathologic Features  Historically ventricular aneurysm was associated with syphilis, rheumatic myocarditis, tuberculosis, trauma, and a number of other etiologic factors. In light of present knowledge, however, it appears that ventricular aneurysm is the end

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