August 1975

Current Surgical Management of Left Ventricular Aneurysm

Author Affiliations

From the Department of Cardiovascular-Thoracic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago.

Arch Surg. 1975;110(8):1027-1030. doi:10.1001/archsurg.1975.01360140171033

One hundred thirty-two patients with ventricular aneurysm had cardiac catheterization, coronary angiography, and ventriculography. More than 50% of the patients, in addition to aneurysmectomy, had other procedures consisting of revascularization, mitral valve replacement, and closure of ventricular septal perforation.

The overall mortality was 10%. Aneurysmectomy alone had a higher mortality (9%) when compared with combined resection of the aneurysm and coronary bypass (5.4%).

During a six-month to 4½-year follow-up (mean, 21 months), seven patients died, representing a late mortality of 6%. This study confirms the importance of complete cardiac evaluation in patients with ventricular aneurysm and shows that, in spite of extensive combined operative procedures required in more than 50% of the patients, the results are favorable.