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):
James C. Gilmore
Noel L. Mills
John L. Ochsner
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 Vauthey, J.-N.
Right arrow Articles by Ochsner, J. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Vauthey, J.-N.
Right arrow Articles by Ochsner, J. L.

Ann Thorac Surg 1988;46:29-35
© 1988 The Society of Thoracic Surgeons


Articles

Left Ventricular Aneurysm Repair with Myocardial Revascularization: An Analysis of 246 Consecutive Patients over 15 Years

Jean-Nicolas Vauthey, M.D., Don W. Berry, M.D., David W. Snyder, M.D., James C. Gilmore, M.D., Kirsten Sundgaard-Riise, M.S., Noel L. Mills, M.D., John L. Ochsner, M.D.*

Department of Surgery and the Department of Internal Medicine, Section on Cardiology, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA

* Address reprint requests to Dr. Ochsner, Ochsner Clinic, 1514 Jefferson Hwy, New Orleans, LA 70121

From 1970 to 1985, 246 consecutive patients with left ventricular (LV) aneurysm underwent repair and concomitant myocardial revascularization at Ochsner Foundation Hospital. The overall incidence of perioperative death was 7.3%. Although the deaths were mainly cardiac related (10/18) with congestive heart failure (CHF) as the leading cause (6/10), 8 deaths were of noncardiac origin. Perioperative mortality increased significantly in patients with mitral regurgitation (MR) (22%; p = 0.0008); perioperative mortality for patients without MR was 4.8%.

The overall 5-year survival was 69%. Late deaths were caused most commonly by myocardial infarction (20/32) with only 7 due to CHF. Predictors of long-term survival were related to LV function preoperatively: absence of CHF (p = 0.001); LV end-diastolic pressure less than or equal to 20 mm Hg (p = 0.03); and ejection fraction greater than or equal to 35% (p = 0.02). Factors that did not significantly affect long-term survival were type of aneurysm repair (resection or plication), morphology of left anterior descending coronary artery (occlusion or stenosis), and size of the aneurysm.




This article has been cited by other articles:


Home page
Asian Cardiovascular and Thoracic AnnalsHome page
K. O. Coskun, A. F. Popov, S. T. Coskun, J. Hinz, J. D. Schmitto, and R. Korfer
Surgical Treatment of Left Ventricular Aneurysm
Asian Cardiovascular and Thoracic Annals, October 1, 2009; 17(5): 490 - 493.
[Abstract] [Full Text] [PDF]


Home page
Eur J Cardiothorac SurgHome page
P. Klein, J. J. Bax, L. J. Shaw, H. H. H. Feringa, M. I. M. Versteegh, R. A. E. Dion, and R. J. M. Klautz
Early and late outcome of left ventricular reconstruction surgery in ischemic heart disease
Eur J Cardiothorac Surg, December 1, 2008; 34(6): 1149 - 1157.
[Abstract] [Full Text] [PDF]


Home page
Card Surg AdultHome page
D. D. Glower and J. E. Lowe
Left Ventricular Aneurysm
, January 1, 2008; 3(2008): 803 - 822.
[Full Text]


Home page
Asian Cardiovascular and Thoracic AnnalsHome page
A. A. Alsaddique and A. P. Furnary
Left Ventricular Aneurysm in Patients with Previous Cardiac Surgery
Asian Cardiovascular and Thoracic Annals, August 1, 2007; 15(4): 310 - 312.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
R. Lundblad, M. Abdelnoor, and J. L. Svennevig
Surgery for left ventricular aneurysm: Early and late survival after simple linear repair and endoventricular patch plasty
J. Thorac. Cardiovasc. Surg., September 1, 2004; 128(3): 449 - 456.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
K. V. Arom and F. L. Grover
Adult cardiac surgery during the first 50 years of the Southern Thoracic Surgical Association
Ann. Thorac. Surg., November 1, 2003; 76(90050): S17 - 46.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
R. Lundblad, M. Abdelnoor, and J. L. Svennevig
Repair of left ventricular aneurysm: surgical risk and long-term survival
Ann. Thorac. Surg., September 1, 2003; 76(3): 719 - 725.
[Abstract] [Full Text] [PDF]


Home page
Card Surg AdultHome page
D. D. Glower and J. E. Lowe
Left Ventricular Aneurysm
, January 1, 2003; 2(2003): 771 - 788.
[Full Text]


Home page
J. Thorac. Cardiovasc. Surg.Home page
V. Dor, M. Sabatier, M. Di Donato, M. Maioli, A. Toso, and F. Montiglio
LATE HEMODYNAMIC RESULTS AFTER LEFT VENTRICULAR PATCH REPAIR ASSOCIATED WITH CORONARY GRAFTING IN PATIENTS WITH POSTINFARCTION AKINETIC OR DYSKINETIC ANEURYSM OF THE LEFT VENTRICLE
J. Thorac. Cardiovasc. Surg., November 1, 1995; 110(5): 1291 - 1301.
[Abstract] [Full Text]


Home page
Ann. Thorac. Surg.Home page
M. Salati, P. D. Biasi, A. Paje, A. Cialfi, G. Bozzi, and C. Santoli
Functional results of left ventricular reconstruction
Ann. Thorac. Surg., August 1, 1993; 56(2): 316 - 322.
[Abstract] [PDF]


Home page
Ann. Thorac. Surg.Home page
N. L. Mills, C. T. Everson, and D. R. Hockmuth
Technical advances in the treatment of left ventricular aneurysm
Ann. Thorac. Surg., March 1, 1993; 55(3): 792 - 800.
[Abstract] [PDF]


Home page
Ann. Thorac. Surg.Home page
P. D. Ridley, A. Khaghani, F. Musumeci, R. Favaloro, E.-S. Akl, N. R. Banner, A. G. Mitchell, and M. H. Yacoub
Heterotopic heart transplantation and recipient heart operation in ischemic heart disease
Ann. Thorac. Surg., August 1, 1992; 54(2): 333 - 337.
[Abstract] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. Komeda, T. E. David, A. Malik, J. Ivanov, and Z. Sun
Operative risks and long-term results of operation for left ventricular aneurysm
Ann. Thorac. Surg., January 1, 1992; 53(1): 22 - 29.
[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 © 1988 by The Society of Thoracic Surgeons.