[Surgical treatment of left ventricular aneurysm (author's transl)].

Abstract

174 cardiac aneurysms were resected between 1970 and 1977. In 49 patients the remaining contractile segment was revascularised at the same time. The hospital mortality was 10.3%, the late mortality was 14%. The uncorrected cumulative survival rate calculated by the acturial method was 90% at 3 years (84--96), and 80% at 5 years (74--85). Results were excellent or good in two thirds of the survivors; 44% were free of angina pectoris, 40% were improved, 73% had no disturbances of cardiac rhythm, and in 15% they were improved. Comparison of the pre- and postoperative ejection fraction showed that the indication for surgery of a cardiac aneurysm exists when more than 20% of the musculature of the left ventricle is affected, when the total ejection fraction is larger than 10% when one vessel is affected, and more than 30% when more than one vessel is affected. Contraindications are diffuse coronary heart disease, when ejection fraction of the contractile segment is less than 30% reduction in contractility of the ventricular septum, and the generally applicable surgical contraindications.

• Authors: J Weniger, J von der Emde, K Bachmann
• Journal: Deutsche medizinische Wochenschrift (1946) (Dtsch Med Wochenschr) Vol. 104 Issue 18 Pg. 665-70 (May 04 1979) ISSN: 0012-0472 [Print] Germany
• Vernacular Title: Chirurgische Behandlung des linksventrikulären Aneurysmas. Prognostische Uberlegungen.
• PMID: 446279 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Female
• Heart Aneurysm (diagnosis, mortality, surgery)
• Heart Septum (physiopathology)
• Humans
• Male
• Middle Aged
• Myocardial Contraction
• Postoperative Complications
• Prognosis