Abstract One hundred thirty-two patients with ventricular aneurysm had cardiac catheterization, coronary angiography, and ventriculography. More than 50% of the patients, in addition to aneurysmectomy, had other procedures consisting of revascularization, mitral valve replacement, and closure of ventricular septal perforation. The overall mortality was 10%. Aneurysmectomy alone had a higher mortality (9%) when compared with combined resection of the aneurysm and coronary bypass (5.4%). During a six-month to 4½-year follow-up (mean, 21 months), seven patients died, representing a late mortality of 6%. This study confirms the importance of complete cardiac evaluation in patients with ventricular aneurysm and shows that, in spite of extensive combined operative procedures required in more than 50% of the patients, the results are favorable. References 1. Cooley DA, Henly WS, Amad KH, et al: Ventricular aneurysm after myocardial infarction: Surgical excision with use of temporary cardiopulmonary bypass . JAMA 167:557-560, 1958.Crossref 2. Effler DB, Westcott RN, Groves LK, et al: Surgical treatment of ventricular aneurysm: Report of ten cases . Arch Surg 87:249-257, 1963.Crossref 3. Najafi H, Dye WS, Javid H, et al: Postmyocardial infarction left ventricular aneurysm: Surgical management . Arch Surg 98:766-770, 1969.Crossref 4. Favaloro RB, Effler DB, Groves LK, et al: Ventricular aneurysm: Clinical experience . Ann Thorac Surg 6:227-231, 1968.Crossref 5. Merin G, Schattenberg TT, Pluth JR, et al: Surgery of postinfarction ventricular aneurysm . Ann Thorac Surg 15:588-593, 1973.Crossref 6. Cooley DA, Dawson JT, Hallman GL, et al: Aortocoronary saphenous vein bypass . Ann Thorac Surg 16:380-384, 1973.Crossref 7. Najafi H, Hunter JA, Dye WS, et al: Emergency left ventricular aneurysmectomy for dying patients . Ann Thorac Surg 10:327-333, 1970.Crossref 8. Hunter J: An account of the dissection of morbid bodies: A monograph or lecture: No. 32, 1757, pp 30-32 (available in Library of Royal College of Surgeons). 9. Beck CS: Operation for aneurysm of the heart . Ann Surg 120:34-40, 1944.Crossref 10. Bailey CP, Zimmerman J, Likoff W, et al: Ventriculoplasty for cardiac aneurysm . J Thorac Surg 35:37-67, 1958. 11. Rossi NP, Flege JB, Ehrenhaft JL: Surgically treatable complications of myocardial infarction . Surgery 65:118-126, 1969. 12. Najafi H, Javid H, Hunter JA, et al: Mitral insufficiency secondary to coronary heart disease. Read before the annual meeting of the Society of Thoracic Surgeons, Montreal, 1975.
Archives of Surgery – American Medical Association
Published: Aug 1, 1975