ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Donald C. Mullen
Roger Gabriel
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mullen, D. C.
Right arrow Articles by Lepley, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mullen, D. C.
Right arrow Articles by Lepley, D., Jr.

Ann Thorac Surg 1977;23:455-460
© 1977 The Society of Thoracic Surgeons

Articles

Prognostic Considerations in the Management of Left Ventricular Aneurysms

Donald C. Mullen, M.D.*, Leonard Posey, M.D., Roger Gabriel, P.A., Harjeet M. Singh, M.D., Robert J. Flemma, M.D., Derward Lepley, Jr., M.D.

Department of Thoracic and Cardiovascular Surgery, The Medical College of Wisconsin, Milwaukee, WI.

* Address reprint requests to Dr. Mullen, 9800 Bluemound Rd, Milwaukee, WI 53226.

This report summarizes a four-year experience with 60 patients who had left ventricular aneurysm (LVA) resection and bypass of all significantly diseased coronary arteries, with an operative and late mortality of 3.3 and 8.3%, respectively. Their cardiac catheterizations were reviewed, and the only values that seemed to reflect prognosis were preoperative cardiac index and the presence or absence of septal motion. The lower the cardiac index, the less likely the patient was to do well postoperatively. There were no survivors who had lacked septal motion by left anterior oblique ventriculogram. Patients without septal motion are therefore no longer considered surgical candidates. If septal motion is present, resection of LVA carries no more risk than myocardial revascularization without LVA.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
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]

Home page
 Arch SurgHome page
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]

Home page
 Arch SurgHome page
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]

Home page
 Ann. Thorac. Surg.Home page
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]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1977 by The Society of Thoracic Surgeons.