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Postinfarction ventricular aneurysm. Successful surgical treatment
Archives of Surgery (Chicago, Ill. : 1960)
|October 1, 1975
Summary
Surgical treatment for postinfarction ventricular aneurysms yielded excellent outcomes, with low mortality rates. Prompt surgical intervention is recommended for patients experiencing symptoms like angina or heart failure.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Devices
Background:
- Postinfarction ventricular aneurysms are serious complications following myocardial infarction.
- Symptoms include angina, congestive heart failure, and arrhythmias, significantly impacting patient prognosis.
- Diagnostic challenges exist with traditional methods like electrocardiograms and chest roentgenograms.
Purpose of the Study:
- To evaluate the efficacy and outcomes of surgical treatment for postinfarction ventricular aneurysms.
- To assess the role of cardiac catheterization in diagnosis and surgical planning.
- To determine the benefits of simultaneous coronary artery bypass grafting during aneurysm excision.
Main Methods:
- A retrospective analysis of 18 patients undergoing surgical treatment for ventricular aneurysms over two years.
- Cardiac catheterization was performed for diagnosis and pre-operative assessment.
- Surgical intervention involved aneurysm excision, with concurrent coronary artery bypass grafting in most cases.
Main Results:
- No operative or early deaths were recorded in the 18 patients.
- A single late death occurred at 20 months, resulting in a 5.5% mortality rate.
- 83% of patients (15/18) received simultaneous coronary artery bypass grafts during aneurysm excision.
Conclusions:
- Surgical management of symptomatic postinfarction ventricular aneurysms offers favorable outcomes.
- Early diagnosis and intervention are crucial for improving patient survival and quality of life.
- Concurrent coronary artery bypass grafting should be considered when indicated to address underlying coronary artery disease.