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Left Ventricular Aneurysmectomy and Ventriculoplasty: Early Angiographic Results and Long-Term Follow-Up

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Heart Failure Mechanisms and Management

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Abstract

The formation of an aneurysm (An) of the left ventricle (LV) is a not infrequent complication of a myocardial infarction, with an incidence between 3% and 38% (average 15%) [1–3]. LV An is identified on contrast cineangiography as a thinned and dilated portion with akinetic or dyskinetic contraction pattern [4,5]. Early diagnosis is important for the management of this disease, since surgical treatment of postinfarction LV An is now a well-established procedure [3,4,6–9]. However, the effect of scar resection on functional recovery of cardiac performance and on long-term survival is still controversial. Among the surgical techniques aimed to improve results, Jatene [10] recently proposed a method of reconstruction in order to (1) restore the normal size and shape of the LV cavity, (2) reduce the workload of the residual myocardium, and (3) improve the function of tissue adjacent to resected scar.

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Authors
  1. C. Vassanelli
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  2. G. Morando
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  3. G. Menegatti
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  4. M. Turri
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  5. L. Zanolla
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  6. G. Besa
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  7. P. Zardini
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Editor information

Editors and Affiliations

  1. Department of Cardiology, Lady Davis Carmel Hospital, 34362, Haifa, Israel

    Basil S. Lewis MD (Director) (Director)

  2. University of California, Los Angeles, USA

    Asher Kimchi MD (Assistant Clinical Professor of Medicine, Attending Physician) (Assistant Clinical Professor of Medicine, Attending Physician)

  3. Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA

    Asher Kimchi MD (Assistant Clinical Professor of Medicine, Attending Physician) (Assistant Clinical Professor of Medicine, Attending Physician)

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© 1991 Springer-Verlag Berlin Heidelberg

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Vassanelli, C. et al. (1991). Left Ventricular Aneurysmectomy and Ventriculoplasty: Early Angiographic Results and Long-Term Follow-Up. In: Lewis, B.S., Kimchi, A. (eds) Heart Failure Mechanisms and Management. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58231-8_46

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  • DOI: https://doi.org/10.1007/978-3-642-58231-8_46

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63509-0

  • Online ISBN: 978-3-642-58231-8

  • eBook Packages: Springer Book Archive

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