[Modified Cooley technique for surgical repair of left ventricular aneurysms]
P R Prates1, D Vitola, J R Sant'Anna
1Instituto de Cardiologia do Rio Grande do Sul, Fundação Universitária de Cardiologia.
Purpose:
To evaluate early postoperative results of modified Cooley's technique of ventricular endoaneurysmorrhaphy.
Patients And Methods:
Eight patients, seven males, with ages ranging 38.0 to 67.0 years (m = 51.2 +/- 11.4 years) and with postinfarction left ventricular aneurysms were submitted to surgical repair by a modified Cooley's technique of ventricular endoaneurysmorrhaphy.
Results:
No postoperative complication occurred and all patients were discharged from the hospital asymptomatic on a mean time of 9.0 +/- 2.3 days after surgery. The mean cardiac index increased from 2.1 +/- 0.5 to 3.3 +/- 1.1 l/min (p less than 0.05) with a mean percentual increase of 53.0%. No patient required mechanical circulatory assistance after surgery and the pharmacological support could be interrupted soon.
Conclusion:
Ventricular endoaneurysmorrhaphy searchs to restore shape, contour and volume to the left ventricle and has shown excellent initial results.
