Abstract |
This retrospective study analyzes short- and long-term outcomes in 18 patients who underwent repair of posterobasal left ventricular aneurysm from January 1993 through December 2009. As concomitant procedures, mitral reconstruction was performed in 4 patients, ventricular septal defect repair in 2 patients, and coronary artery bypass grafting in 17 patients. In regard to surgical technique, 10 patients underwent patch repair and 8 underwent closure by linear suture. The in-hospital mortality rate was 11% (2 patients). An intra-aortic balloon pump was placed postoperatively in 1 patient. One patient underwent reoperation for mediastinitis and 2 for bleeding. The 1-, 5-, and 10-year survival rates were 82%, 76%, and 52%, respectively. Posterobasal left ventricular aneurysm repair can be performed with low short-term mortality rates and good long-term outcomes. It must be judged whether a linear repair or patch repair is better, in accordance with aneurysm size and the concomitant operative procedure, if any.
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Authors | Mehmet Erdem Toker, Oruc Alper Onk, Saleh Alsalehi, Hasan Sunar, Rahmi Zeybek, Mehmet Balkanay, Cevat Yakut |
Journal | Texas Heart Institute journal
(Tex Heart Inst J)
Vol. 40
Issue 4
Pg. 424-7
( 2013)
ISSN: 1526-6702 [Electronic] United States |
PMID | 24082372
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Cardiac Surgical Procedures
(adverse effects, mortality)
- Female
- Heart Aneurysm
(diagnosis, mortality, surgery)
- Heart Ventricles
(surgery)
- Hospital Mortality
- Humans
- Kaplan-Meier Estimate
- Male
- Mediastinitis
(etiology, surgery)
- Middle Aged
- Patient Selection
- Pericardium
(transplantation)
- Postoperative Hemorrhage
(etiology, surgery)
- Reoperation
- Retrospective Studies
- Risk Factors
- Survival Rate
- Suture Techniques
- Time Factors
- Treatment Outcome
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