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Posterobasal left ventricular aneurysms: surgical treatment and long-term outcomes

Mehmet Erdem Toker1, Oruc Alper Onk, Saleh Alsalehi

  • 1Department of Cardiovascular Surgery, Kartal Kosuyolu Heart and Research Hospital, 34846 Kartal, Istanbul, Turkey.

Texas Heart Institute Journal
|October 2, 2013
PubMed

Insights

Repairing posterobasal left ventricular aneurysms shows low short-term mortality and good long-term survival. The choice between patch or linear repair depends on aneurysm size and other procedures.

Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Posterobasal left ventricular aneurysms pose significant risks.
  • Surgical repair outcomes require detailed analysis.

Purpose of the Study:

  • To evaluate short- and long-term outcomes of posterobasal left ventricular aneurysm repair.
  • To compare surgical techniques and identify factors influencing survival.

Main Methods:

  • Retrospective analysis of 18 patients undergoing posterobasal left ventricular aneurysm repair (1993-2009).
  • Concomitant procedures included mitral reconstruction, VSD repair, and CABG.
  • Surgical techniques involved patch repair (10 patients) or linear suture (8 patients).

Main Results:

  • In-hospital mortality was 11% (2 patients).
  • 1-, 5-, and 10-year survival rates were 82%, 76%, and 52%, respectively.
  • Reoperations were performed for mediastinitis (1) and bleeding (2).

Conclusions:

  • Posterobasal left ventricular aneurysm repair offers favorable short-term and long-term results.
  • Surgical approach (patch vs. linear) should be individualized based on aneurysm characteristics and concurrent procedures.

Keywords:
Aneurysm, left ventricularaneurysmectomycardiac surgical procedures/mortalityheart aneurysm/mortality/surgeryheart ventricle/surgerymyocardial infarctionretrospective studies

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