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.
Najafi H, Dye WS, Javid H, Hunter JA, Goldin MD, Serry C. Current Surgical Management of Left Ventricular Aneurysm. Arch Surg. 1975;110(8):1027–1030. doi:10.1001/archsurg.1975.01360140171033
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: