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[The surgical treatment of postinfarct aneurysms of the left ventricle]
Vestnik Khirurgii Imeni I. I. Grekova
|January 23, 1999
Insights
A modified surgical technique for left ventricular aneurysms after heart attack reduced complications. This approach, avoiding foreign patches, showed a low in-hospital mortality rate of 7.6% in 94 patients.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery
- Interventional Cardiology
Context:
- Ischemic heart disease can lead to serious complications.
- Postinfarction left ventricular aneurysm presents a significant surgical challenge.
- Existing surgical methods may involve foreign materials with associated risks.
Purpose:
- To evaluate the efficacy of a modified surgical approach for postinfarction left ventricular aneurysms.
- To assess the outcomes of a technique that avoids foreign patches in septal repair.
- To determine the safety and effectiveness of the V. Dor modified operation.
Summary:
- Ninety-four patients with ischemic heart disease and left ventricular aneurysm underwent surgical intervention.
- A modified V. Dor operation was performed on 55 patients, focusing on repairing damaged septal areas without foreign patches.
- The overall intrahospital mortality rate for the procedures was 7.6%.
Impact:
- The modified V. Dor operation offers a viable alternative for treating complex left ventricular aneurysms.
- Minimizing the use of foreign materials in cardiac surgery can potentially reduce long-term complications.
- This study contributes to the understanding of surgical management for postinfarction cardiac remodeling.
Abstract:
Operations for ischemic heart disease complicated by the appearance of postinfarction left ventricular aneurysm were fulfilled on 94 patients. The modified operation after V. Dor used in 55 patients allowed fulfilling interventions on the damaged parts of the interventricular septum excluding the application of foreign patches. Intrahospital lethality was 7.6%.