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Updated: Jul 29, 2026
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Ventricular aneurysmectomy. A 25-year experience
W H Coltharp1, S J Hoff, W S Stoney
1Division of Cardiac and Thoracic Surgery, St. Thomas Hospital, Nashville, Tennessee.
Objective:
This study determined predictors of operative survival and improved long-term outcomes in patients undergoing ventricular aneurysmectomy.
Summary Background Data:
Since the first successful repair of ventricular aneurysm in 1958, refined technique and improvement in perioperative care have been introduced to lower morbidity and mortality.
Methods:
The authors reviewed their institutional experience from 1968 through 1993 in treating 523 patients who underwent ventricular aneurysmectomy.
Results:
Overall operative mortality was 8% and overall median survival was 128 months. Contractility grade, age, and year of operation were predictors of operative mortality and of improved long-term survival. Type of aneurysm repair was not a strong predictor of operative mortality or improved long-term survival.
Conclusions:
Ventricular aneurysmectomy can be performed safely using one of a number of established techniques, although operative mortality and long-term survival may not depend on the techniques used.
