PMID: 6971647Apr 1, 1981Paper

Long-term results after left ventricular aneurysmectomy

British Heart Journal
J E OtterstadS Nitter-Hauge

Abstract

Twenty-six patients (21 men and five women) with a mean age of 54.8 years have been reinvestigated nine to 62 months (mean 29.7) after left ventricular aneurysmectomy. Preoperatively left ventricular angiography disclosed an anterior aneurysm in all cases, which was large in 15 (57%) and small to medium in 11 (42%). At follow-up a large residual aneurysm was found in five (19%), a small to medium one in 13 (50%), and akinesia without aneurysm in eight (31%). The sum of ST elevation (sigma ST) in praecordial leads in the electrocardiogram was reduced from a mean value of 11.2 mm to 7.7 mm. In no patient did ST segments return to normal after operation. Preoperatively, mean sigma ST was identical in patients with large and with small to medium aneurysms. At reinvestigation mean sigma ST was identical in patients with large and with small to medium residual aneurysms as well as in patients with akinesia. Left ventricular end-diastolic pressure before angiography was reduced from a mean value of 21.5 mm to 15.1 mmHg and after angiography from 26.7 mm to 21.1 mmHg. Progression of coronary artery stenoses was a characteristic finding in patients whose left ventricular end-diastolic pressures did not return to normal. These patients h...Continue Reading

References

Dec 1, 1979·The American Journal of Cardiology·H GewirtzE R Smith
Dec 1, 1976·British Heart Journal·R M DonaldsonJ E Wright
Apr 1, 1978·The Annals of Thoracic Surgery·R C ShawJ P Connors
Jan 1, 1979·British Heart Journal·M SestoM Schlepper
May 1, 1979·The Annals of Thoracic Surgery·R Rivera, J L Delcan
Jan 17, 1975·Deutsche medizinische Wochenschrift·M SchönbeckJ Wellauer
Apr 1, 1973·The Annals of Thoracic Surgery·W S StoneyC S Thomas
Jan 1, 1972·Cardiovascular Clinics·E Chesler
Feb 1, 1974·British Heart Journal·V J FisherD A Tice
Oct 1, 1972·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·S L SmithS F Ochsner
May 31, 1958·Journal of the American Medical Association·D A COOLEYD W CHAPMAN

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Citations

Jul 1, 1983·Journal of the American College of Cardiology·S K KieferJ J Curtis
Jan 1, 1987·Scandinavian Journal of Thoracic and Cardiovascular Surgery·M A KnudsenK Rasmussen
Jan 1, 1989·Scandinavian Journal of Thoracic and Cardiovascular Surgery·J L SvennevigE Sivertssen
Aug 1, 1993·The Annals of Thoracic Surgery·M SalatiC Santoli
Nov 15, 1985·The American Journal of Cardiology·C A VisserA J Dunning
Jul 1, 1996·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·T BuckR Erbel
Apr 1, 1983·Circulation·M CohenR Gorlin

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