PMID: 6972744Jun 1, 1981Paper

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
May 1, 1977·The Annals of Thoracic Surgery·D C MullenD Lepley
Feb 1, 1976·The Annals of Thoracic Surgery·J M MoranR Pifarré
Jun 1, 1973·The Annals of Thoracic Surgery·G MerinG K Danielson
Jan 1, 1972·Cardiovascular Clinics·E Chesler
Feb 1, 1973·The New England Journal of Medicine·F D LoopL K Groves
Feb 1, 1974·British Heart Journal·V J FisherD A Tice
Jun 1, 1971·American Journal of Surgery·H I Machleder, D G Mulder
Jan 1, 1972·The American Journal of Cardiology·R W Davis, P A Ebert
Jun 1, 1972·Circulation·E D MundthW G Austen
Sep 1, 1968·The Annals of Thoracic Surgery·R G FavaloroJ Lozada
May 1, 1980·The American Journal of Cardiology·R T FroehlichM L Marcus

❮ Previous
Next ❯

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

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.