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Surgical Treatment of Ventricular Aneurysm: Report of Ten Cases

Surgical Treatment of Ventricular Aneurysm: Report of Ten Cases Abstract Introduction Aneurysm of the heart was described in 1757 when John Hunter1 included a case report in "An Account of the Dissection of Morbid Bodys." For two centuries ventricular aneurysm has remained an interesting pathologic entity and has been displayed prominently in every major collection of postmortem oddities. Occasionally the diagnosis of ventricular aneurysm was established in the living patient,2 an event of interest to the clinician but not helpful to the patient. The recent advent of open-heart surgery and its application in various types of acquired heart disease has made ventricular aneurysm a correctable lesion. This development removes ventricular aneurysm from the sole realm of the pathologist and makes clinical recognition now mandatory. Pathologic Features Historically ventricular aneurysm was associated with syphilis, rheumatic myocarditis, tuberculosis, trauma, and a number of other etiologic factors. In light of present knowledge, however, it appears that ventricular aneurysm is the end References 1. Each of the patients described in this series was studied by left heart catheterization techniques and selective coronary arteriography. These studies were performed by Dr. F. Mason Sones, Jr., and Dr. Earl K. Shirey, of the Cardiovascular Laboratory. 2. Hunter, J.: An Account of the Dissection of Morbid Bodys, manuscript copy in Library of Royal College of Surgeons, No. 32, 1757, pp 30-32. 3. Sternberg, M.: Das chronische partielle Herzaneurysma, thesis, Erlangen University, Dresden, Germany, 1914. 4. Schlichter, J.; Hellerstein, H. K.; and Katz, L. N.: Aneurysm of the Heart: A Correlative Study of 102 Proved Cases , Medicine 33:43-86 ( (Feb) ) 1954.Crossref 5. Likoff, W., and Bailey, C. P.: Ventriculoplasty: Excision of Myocardial Aneurysm; Report of a Successful Case , JAMA 158:915-920 ( (July 16) ) 1955.Crossref 6. Cooley, D. A.; Collins, H. A.; Morris, G. C., Jr.; and Chapman, D. W.: Ventricular Aneurysm After Myocardial Infarction: Surgical Excision With Use of Temporary Cardiopulmonary Bypass , JAMA 167:557-560 ( (May 31) ) 1958.Crossref 7. Cooley, D. A.; Henly, W. S.; Amad, K. H.; and Chapman, D. W.: Ventricular Aneurysm Following Myocardial Infarction: Results of Surgical Treatment , Ann Surg 150:595-612 ( (Oct) ) 1959.Crossref 8. Lillehei, C. W.; Levy, M. J.; DeWall, R. A.; and Warden, H. E.: Resection of Myocardial Aneurysms After Infarction During Temporary Cardiopulmonary Bypass , Circulation 26:206-217 ( (Aug) ) 1962.Crossref 9. Lam, C. (Henry Ford Hospital, Detroit): Personal communication to the authors, September, 1959. 10. Effler, D. B., and Groves, L. K.: Open-Heart Surgery for Acquired Valvular Heart Disease; Present Techniques and Trends , Arch Surg 84:155-169 ( (Feb) ) 1962.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Surgical Treatment of Ventricular Aneurysm: Report of Ten Cases

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310140057012
Publisher site
See Article on Publisher Site

Abstract

Abstract Introduction Aneurysm of the heart was described in 1757 when John Hunter1 included a case report in "An Account of the Dissection of Morbid Bodys." For two centuries ventricular aneurysm has remained an interesting pathologic entity and has been displayed prominently in every major collection of postmortem oddities. Occasionally the diagnosis of ventricular aneurysm was established in the living patient,2 an event of interest to the clinician but not helpful to the patient. The recent advent of open-heart surgery and its application in various types of acquired heart disease has made ventricular aneurysm a correctable lesion. This development removes ventricular aneurysm from the sole realm of the pathologist and makes clinical recognition now mandatory. Pathologic Features Historically ventricular aneurysm was associated with syphilis, rheumatic myocarditis, tuberculosis, trauma, and a number of other etiologic factors. In light of present knowledge, however, it appears that ventricular aneurysm is the end References 1. Each of the patients described in this series was studied by left heart catheterization techniques and selective coronary arteriography. These studies were performed by Dr. F. Mason Sones, Jr., and Dr. Earl K. Shirey, of the Cardiovascular Laboratory. 2. Hunter, J.: An Account of the Dissection of Morbid Bodys, manuscript copy in Library of Royal College of Surgeons, No. 32, 1757, pp 30-32. 3. Sternberg, M.: Das chronische partielle Herzaneurysma, thesis, Erlangen University, Dresden, Germany, 1914. 4. Schlichter, J.; Hellerstein, H. K.; and Katz, L. N.: Aneurysm of the Heart: A Correlative Study of 102 Proved Cases , Medicine 33:43-86 ( (Feb) ) 1954.Crossref 5. Likoff, W., and Bailey, C. P.: Ventriculoplasty: Excision of Myocardial Aneurysm; Report of a Successful Case , JAMA 158:915-920 ( (July 16) ) 1955.Crossref 6. Cooley, D. A.; Collins, H. A.; Morris, G. C., Jr.; and Chapman, D. W.: Ventricular Aneurysm After Myocardial Infarction: Surgical Excision With Use of Temporary Cardiopulmonary Bypass , JAMA 167:557-560 ( (May 31) ) 1958.Crossref 7. Cooley, D. A.; Henly, W. S.; Amad, K. H.; and Chapman, D. W.: Ventricular Aneurysm Following Myocardial Infarction: Results of Surgical Treatment , Ann Surg 150:595-612 ( (Oct) ) 1959.Crossref 8. Lillehei, C. W.; Levy, M. J.; DeWall, R. A.; and Warden, H. E.: Resection of Myocardial Aneurysms After Infarction During Temporary Cardiopulmonary Bypass , Circulation 26:206-217 ( (Aug) ) 1962.Crossref 9. Lam, C. (Henry Ford Hospital, Detroit): Personal communication to the authors, September, 1959. 10. Effler, D. B., and Groves, L. K.: Open-Heart Surgery for Acquired Valvular Heart Disease; Present Techniques and Trends , Arch Surg 84:155-169 ( (Feb) ) 1962.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1963

References