HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): John M. Moran Roque Pifarré Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Moran, J. M. Articles by Pifarré, R. Search for Related Content PubMed PubMed Citation Articles by Moran, J. M. Articles by Pifarré, R.

Ann Thorac Surg 1976;21:107-113
© 1976 The Society of Thoracic Surgeons

---

Articles

Surgical Treatment of Postinfarction Ventricular Aneurysm

From the Department of Surgery, Section of Cardiothoracic Surgery, and the Department of Medicine, Section of Cardiology, Loyola University Medical Center, Maywood, and the Cardiopulmonary Surgical Section, Hines Veterans Administration Hospital, Hines, IL.

Accepted for publication March 25, 1975.

^* Address reprint requests to Dr. Pifarré, Chief, Cardiopulmonary Surgical Section, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153

We have operated on 62 consecutive patients for postinfarction ventricular aneurysm since coronary bypass grafting became available. Analysis of hemodynamic and angiographic data reveals that the prognosis of operation is favorable if mean pulmonary artery pressure is less than 45 mm Hg and cardiac index is greater than 2.0 L/min/m²; such factors as the preoperative New York Heart Association Functional Class, number of coronary grafts, aneurysm size, left ventricular end-diastolic pressure, and coronary score were not closely related to the outcome of operation. Hospital mortality was 6.5% (4 patients) and late mortality, with a mean follow-up of two years, was 11% (7 patients). The prognosis among survivors was good: 82% (46) achieved NYHA Class I or II status, whereas 87% (54) had been in Class III or IV preoperatively. Concomitant vein grafting with aneurysmectomy did not significantly enhance operative or late survival, nor did it add appreciably to the risk of operation. Long-term benefits of revascularization in addition to aneurysmectomy are expected but not yet proved.

This article has been cited by other articles:

				J. R. Skinner, C. Rasak, C. Kongtahworn, S. J. Phillips, R. H. Zeff, R. S. Toon, and V. B. Solomon Natural History of Surgically Treated Ventricular Aneurysm Ann. Thorac. Surg., July 1, 1984; 38(1): 42 - 45. [Abstract] [PDF]

				J. M. Moran, R. F. Kehoe, J. M. Loeb, P. R. Lichtenthai, J. H. Sanders Jr., and L. L. Michaelis Extended Endocardial Resection for the Treatment of Ventricular Tachycardia and Ventricular Fibrillation Ann. Thorac. Surg., November 1, 1982; 34(5): 538 - 552. [Abstract] [PDF]

				C. A. Schmidt, L. L. Bailey, and E. E. Wareham Septal Wall Motion: Its Significance on Outcome of Left Ventricular Scar Resection Arch Surg, May 1, 1980; 115(5): 624 - 625. [Abstract] [PDF]

				J. E. Hutchinson III, G. G. Green, H. A. Mekhjian, J. L. Camunas, S. M. Habal, E. M. Parodi, and M. J. Schwartz Combined Left Ventricular Aneurysm and Coronary Artery Bypass Surgery: Long-term Results of 100 Consecutive Patients Arch Surg, November 1, 1978; 113(11): 1236 - 1240. [Abstract] [PDF]

				R. C. Shaw, T. B. Ferguson, C. S. Weldon, and J. P. Connors Left Ventricular Aneurysm Resection: Indications and Long-Term Follow-Up Ann. Thorac. Surg., April 1, 1978; 25(4): 336 - 339. [Abstract] [PDF]

				D. C. Mullen, L. Posey, R. Gabriel, H. M. Singh, R. J. Flemma, and D. Lepley Jr. Prognostic Considerations in the Management of Left Ventricular Aneurysms Ann. Thorac. Surg., May 1, 1977; 23(5): 455 - 460. [Abstract] [PDF]