Long-term survival following left ventricular aneurysmectomy.

Journal article

Ninety-four patients who underwent left ventricular aneurysmectomy between 1971 and 1980 are reviewed. In thirty-four cases this operation was combined with myocardial revascularisation. The overall hospital mortality was 6% with a five-year survival of 72% +/- 6%. Symptomatology dominated by dyspnoea, a raised left ventricular end diastolic pressure (L.V.E.D.P.) and ventricular dysrhythmias adversely affected survival. Combined myocardial revascularisation did not affect the hospital mortality but was associated with a trend toward improved long-term survival in two groups of patients viz those presenting with predominant angina and those with major stenoses of two or more coronary arteries. Fifteen patients agreed prospectively to post-operative cardiac catheterisation. Despite symptomatic relief no improvement in L.V.E.D.P. or ejection fraction was demonstrated in this group.

Authors: Ratcliffe, P; Kay, P; Oldershaw, P; Dawkins, K; Cotter, L

• Publication status: Published
• Journal: Journal of cardiovascular surgery
• Volume: 24
• Issue: 5
• Pages: 461-466
• Publication date: 1983-01-01
• ISSN: 0021-9509
• Language: English
• Keywords: Postoperative Complications; Middle Aged; Electrocardiography; Prognosis; Humans; Dyspnea; Stroke Volume; Male; Heart Aneurysm; Female; Myocardial Revascularization; Follow-Up Studies; Angina Pectoris; Heart Catheterization