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Ninety-four patients who underwent left ventricular aneurysmectomy between 1971 and 1980 are reviewed. In thirty-four cases this operation was combined with myocardial revascularisation. The overall hospital mortality was 6% with a five-year survival of 72% +/- 6%. Symptomatology dominated by dyspnoea, a raised left ventricular end diastolic pressure (L.V.E.D.P.) and ventricular dysrhythmias adversely affected survival. Combined myocardial revascularisation did not affect the hospital mortality but was associated with a trend toward improved long-term survival in two groups of patients viz those presenting with predominant angina and those with major stenoses of two or more coronary arteries. Fifteen patients agreed prospectively to post-operative cardiac catheterisation. Despite symptomatic relief no improvement in L.V.E.D.P. or ejection fraction was demonstrated in this group.

Type

Journal article

Journal

J Cardiovasc Surg (Torino)

Publication Date

09/1983

Volume

24

Pages

461 - 466

Keywords

Angina Pectoris, Cardiac Catheterization, Dyspnea, Electrocardiography, Female, Follow-Up Studies, Heart Aneurysm, Humans, Male, Middle Aged, Myocardial Revascularization, Postoperative Complications, Prognosis, Stroke Volume