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[Aneurysms of the left ventricle. Surgical treatment]

J M Calbet1, C Obi, R Rodríguez

  • 1Servicio de Cirugía Cardíaca, Ciudad Sanitaria y Universitaria de Bellvitge, Hospital Príncipes de España, Barcelona.

Revista Espanola De Cardiologia
|August 26, 1998
PubMed

Insights

Left ventricular aneurysm, a myocardial infarction complication, is decreasing due to acute medical treatments. Surgery is reserved for complicated cases, focusing on functional results and survival.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Complications

Context:

  • Left ventricular aneurysm (LVA) is a known complication of myocardial infarction (MI), historically affecting 10% of patients.
  • A significant recent decrease in LVA incidence has been observed across surgical teams.
  • This decline is attributed to advancements in acute phase myocardial infarction medical management.

Purpose:

  • To review the current landscape of surgical interventions for complicated left ventricular aneurysms.
  • To discuss the primary surgical procedures reported for LVA management.
  • To highlight the criteria for surgical indication, emphasizing functional outcomes and long-term survival.

Summary:

  • The incidence of left ventricular aneurysm following myocardial infarction has notably decreased, likely due to improved acute medical treatments.
  • Surgical intervention for LVAs is now primarily indicated for patients experiencing complications like heart failure, thromboembolism, arrhythmias, or angina.
  • This review focuses on established surgical techniques and the importance of patient selection for favorable functional results and survival.

Impact:

  • Provides an overview of surgical approaches for managing complex left ventricular aneurysms.
  • Informs clinical decision-making regarding the surgical treatment of post-myocardial infarction complications.
  • Contributes to understanding the evolving management strategies for left ventricular aneurysms and their impact on patient outcomes.

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