Ventricular aneurysmectomy. A 25-year experience.
| Autor: | Coltharp WH; Division of Cardiac and Thoracic Surgery, St. Thomas Hospital, Nashville, Tennessee., Hoff SJ, Stoney WS, Alford WC Jr, Burrus GR, Glassford DM Jr, Lea JW 4th, Petracek MR, Starkey TD, Shuman TA |
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| Jazyk: | angličtina |
| Zdroj: | Annals of surgery [Ann Surg] 1994 Jun; Vol. 219 (6), pp. 707-13; discussion 713-4. |
| DOI: | 10.1097/00000658-199406000-00015 |
| Abstrakt: | Objective: This study determined predictors of operative survival and improved long-term outcomes in patients undergoing ventricular aneurysmectomy. Summary Background Data: Since the first successful repair of ventricular aneurysm in 1958, refined technique and improvement in perioperative care have been introduced to lower morbidity and mortality. Methods: The authors reviewed their institutional experience from 1968 through 1993 in treating 523 patients who underwent ventricular aneurysmectomy. Results: Overall operative mortality was 8% and overall median survival was 128 months. Contractility grade, age, and year of operation were predictors of operative mortality and of improved long-term survival. Type of aneurysm repair was not a strong predictor of operative mortality or improved long-term survival. Conclusions: Ventricular aneurysmectomy can be performed safely using one of a number of established techniques, although operative mortality and long-term survival may not depend on the techniques used. |
| Databáze: | MEDLINE |
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