PMID: 6972744Jun 1, 1981

Influence of left ventricular aneurysm on survival following the coronary bypass operation

Annals of Surgery
E L JonesC R Hatcher

Abstract

Patients having coronary bypass and aneurysm resection (N = 40) or aneurysm plication (N = 32) were compared with patients having coronary bypass without aneurysm (N = 2782). Unlike other series, the primary indication for surgery in the aneurysm patients was angina pectoris, with heart failure playing a secondary role. Multivessel disease was present in 83% of the patients with aneurysm. Total occlusion of the anterior descending coronary artery was more prevalent in the group of patients who had aneurysmectomy (75%) than in rhe group of patients who had plication (38%), and more grafts/patient could be performed in the plication group (2.6 vs 2.0). Location of the aneurysm was most often anteroapical (N = 55) and infrequently inferior (N = 6). Septal wall motion was akinetic or aneurysmal in 47% of the aneurysmectomy group, and 10% of the plication group. Postoperative requirements for inotropes or intra-aortic balloon assist was much higher in the aneurysm group (aneurysmectomy or plication) than in patients without aneurysm having bypass. Hospital mortality for aneurysm patients was 2.7% versus 1.4% in patients without aneurysms having coronary bypass. The actuarial survival rate at 42 months for all aneurysm patients was 9...Continue Reading

References

Jul 1, 1977·Circulation·T N James
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Citations

Dec 1, 1986·Journal of the American College of Cardiology·M B FormanG C Friesinger
Jul 1, 1984·The Annals of Thoracic Surgery·J R SkinnerV B Solomon
May 1, 1982·American Journal of Surgery·E A RittenhouseM A O'Brien
Jul 15, 1991·The American Journal of Cardiology·P A BaciewiczR A Guyton
Jan 1, 1989·Clinical Cardiology·H A Ba'albaki, S D Clements

Related Concepts

Angina Pectoris
Coronary Artery Bypass Surgery
Sinus Node Artery
Heart Aneurysm
Cardiac Catheterization Procedures
Myocardial Failure
Left Ventricular Structure
Retrospective Studies

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