Posterobasal left ventricular aneurysms: Surgical treatment and long-term outcomes
Texas Heart Institute Journal, cilt.40, sa.4, ss.424-427, 2013 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 40 Sayı: 4
- Basım Tarihi: 2013
- Dergi Adı: Texas Heart Institute Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.424-427
- Anahtar Kelimeler: Aneurysm, Aneurysmectomy, Cardiac surgical procedures/mortality, Heart aneurysm/mortality/surgery, Heart ventricle/surgery, Left ventricular, Myocardial infarction, Retrospective studies
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
This retrospective study analyzes short- and long-term outcomes in 18 patients who underwent repair of posterobasal left ventricular aneurysm from January 1993 through December 2009. As concomitant procedures, mitral reconstruction was performed in 4 patients, ventricular septal defect repair in 2 patients, and coronary artery bypass grafting in 17 patients. In regard to surgical technique, 10 patients underwent patch repair and 8 underwent closure by linear suture. The in-hospital mortality rate was 11% (2 patients). An intra-aortic balloon pump was placed postoperatively in 1 patient. One patient underwent reoperation for mediastinitis and 2 for bleeding. The 1-, 5-, and 10-year survival rates were 82%, 76%, and 52%, respectively. Posterobasal left ventricular aneurysm repair can be performed with low short-term mortality rates and good long-term outcomes. It must be judged whether a linear repair or patch repair is better, in accordance with aneurysm size and the concomitant operative procedure, if any. © 2013 by the Texas Heart ® Institute, Houston.