Natural History of Surgically Treated Ventricular Aneurysm
| Autor: | Robert H. Zeff, James R. Skinner, Chamnahn Kongtahworn, Vasanth B. Solomon, Richard S. Toon, Christopher Rasak, Steven J. Phillips |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Adult
Male Risk Pulmonary and Respiratory Medicine Work medicine.medical_specialty Myocardial Infarction Coronary Disease Postoperative Complications Work status Aneurysm medicine Humans Saphenous Vein Heart Aneurysm Vein Aged Atherosclerotic cardiovascular disease business.industry Age Factors Middle Aged medicine.disease Ventricular aneurysm Surgery Natural history medicine.anatomical_structure Evaluation Studies as Topic Female Functional status Emergencies Cardiology and Cardiovascular Medicine Complication business Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 38:42-45 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/s0003-4975(10)62184-4 |
| Popis: | Forty-one patients underwent resection of a postinfarction ventricular aneurysm. Thirty-seven of them had associated saphenous vein grafting procedures (average, 2.3 grafts per patient). Thirty-five patients sustained left ventricular dysfunction preoperatively. Forty patients were followed until death or for a minimum of five years (1 was lost to follow-up), and functional status was evaluated. Hospital mortality was 12%. Twenty-four patients survived five years or longer, and 20 patients were alive after a mean follow-up of 84 months. Eighty percent of the non-survivors died of atherosclerosis-related events. Forty-nine percent of the patients who survived the operation sustained severe atherosclerotic events postoperatively. Only 2 of 15 nonsurvivors ever regained functional status as judged by return to work. Twelve of the 20 long-term survivors returned to work. Of those patients less than 50 years old at operation, only 17% returned to work. Preoperative left ventricular function was a significant predictor of long-term functional results of aneurysmectomy and saphenous vein grafting. All patients remained at high risk for continued events related to atherosclerotic cardiovascular disease, and only 37% returned to full-time, preoperative work status. Return to productive status was especially disappointing in patients less than 50 years old. |
| Databáze: | OpenAIRE |
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