HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Mirko Doss Wolfgang Hemmer Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Doss, M. Articles by Hemmer, W. Search for Related Content PubMed PubMed Citation Articles by Doss, M. Articles by Hemmer, W. Related Collections Cardiac - other

Eur J Cardiothorac Surg 2001;20:783-785
© 2001 Elsevier Science NL

Long term follow up of left ventricular function after repair of left ventricular aneurysm. A comparison of linear closure versus patch plasty

^a Department of Thoracic and Cardiovascular Surgery, J.W. Goethe University Frankfurt am Main, Theodor Stern Kai 7,60590 Frankfurt am Main, Germany
^b Department of Cardiac Surgery, Sana Clinic, Stuttgart, Germany

Received 24 April 2001; received in revised form 12 June 2001; accepted 12 June 2001.

Corresponding author. Tel.: +69-6301-6141; fax: +69-6301-5849
e-mail: mirkodoss{at}aol.com

Objective: Suboptimal early and unsatisfactory late results after linear closure of left ventricular aneurysms, have focused attention on more physiologic concepts of aneurysmectomy, like endoventricular patch plasty. The aim of our study was to compare clinical results of linear closure and patch plasty 8 years after surgery. Methods: From a total of 102 patients with postinfarctional left ventricular aneurysms, clinical outcomes and echocardiographic measurements of left ventricular function in 32 patients who underwent linear closure were compared to those of 20 patients who had endoventricular patch plasty. Results: The two groups were matched with respect to age, gender, comorbid risk factors, functional class, urgency of the operation and concomitant procedures. In the patch plasty group, ejection fraction increased from 33.1±12.2% to 34.4±9.7%. In the linear closure group, ejection fraction decreased from 44.3±10.9% to 40.1±7.9%. Perioperative mortality and complications, long term survival and functional class were similar in both groups with a total perioperative mortality of 1.9%, an 8-year survival rate of 85.6%, and a mean NYHA functional class of 2.51. Conclusion: Long-term follow up showed a decline in ejection fraction in the direct closure group and a slight increase in the patch plasty group. We suggest that linear closure should be limited to small ventricular aneurysms and that large ventricular aneurysms extending into the septum should be treated by patch plasty.

Key Words: Left ventricular aneurysm

This article has been cited by other articles:

				M. Mukaddirov, J.-M. Frapier, R. G. Demaria, and B. Albat Surgical treatment of postinfarction anterior left ventricular aneurysms: linear vs. patch plasty repair Interactive CardioVascular and Thoracic Surgery, April 1, 2008; 7(2): 256 - 261. [Abstract] [Full Text] [PDF]

				D. D. Glower and J. E. Lowe Left Ventricular Aneurysm Card. Surg. Adult, January 1, 2008; 3(2008): 803 - 822. [Full Text]

				A. Parolari, M. Naliato, C. Loardi, P. Denti, M. Trezzi, M. Zanobini, M. Porqueddu, M. Roberto, S. Kassem, F. Alamanni, et al. Surgery of Left Ventricular Aneurysm: A Meta-Analysis of Early Outcomes Following Different Reconstruction Techniques Ann. Thorac. Surg., June 1, 2007; 83(6): 2009 - 2016. [Abstract] [Full Text] [PDF]

				J. C. Walker, M. B. Ratcliffe, P. Zhang, A. W. Wallace, B. Fata, E. W. Hsu, D. Saloner, and J. M. Guccione MRI-based finite-element analysis of left ventricular aneurysm Am J Physiol Heart Circ Physiol, August 1, 2005; 289(2): H692 - H700. [Abstract] [Full Text] [PDF]

				P. E. Antunes, R. Silva, J. F. de Oliveira, and M. J. Antunes Left ventricular aneurysms: early and long-term results of two types of repair Eur. J. Cardiothorac. Surg., February 1, 2005; 27(2): 210 - 215. [Abstract] [Full Text] [PDF]

				R. Lundblad, M. Abdelnoor, and J. L. Svennevig Surgery for left ventricular aneurysm: Early and late survival after simple linear repair and endoventricular patch plasty J. Thorac. Cardiovasc. Surg., September 1, 2004; 128(3): 449 - 456. [Abstract] [Full Text] [PDF]

				R. Lundblad, M. Abdelnoor, and J. L. Svennevig Repair of left ventricular aneurysm: surgical risk and long-term survival Ann. Thorac. Surg., September 1, 2003; 76(3): 719 - 725. [Abstract] [Full Text] [PDF]

				D. D. Glower and J. E. Lowe Left Ventricular Aneurysm Card. Surg. Adult, January 1, 2003; 2(2003): 771 - 788. [Full Text]