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Endoaneurysmorrhaphy: A technique to improve ejection fraction in left ventricular aneurysms

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Abstract

Traditional linear closure of left ventricular aneurysms may leave a distorted left ventricular cavity with a residual akinetic septum. The technique of insertion of an endoaneurysmal patch has theoretical advantages in this respect. In a 13-month-period, seven patients underwent endoaneurysmorrhaphy and the surgical technique is described. There was one postoperative death. The survivors had good ejection fraction postoperatively and in five patients there was a measured increase in global ejection fraction from preoperative values. Further study and follow up is needed to demonstrate the superiority of this promising technique.

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References

  1. Cooley DA, Collins HA, Morris GC, Chapman DW. Ventricular aneurysms after myocardial infarction. Surgical excision with use of temporary cardiopulmonary bypass.JAMA 1958:167: 557–62.

    CAS  Google Scholar 

  2. Dor V. Surgery for left ventricular aneurysm.Curr Opin Cardiol 1990;1: 773–80.

    Article  Google Scholar 

  3. Jatene AD: Left ventricular aneurysmectomy.J Thorac Cardiovasc Surg 1985;89: 321–31.

    PubMed  CAS  Google Scholar 

  4. Dor V, Saab M, Coste P, Kornaszewska M, Montegllo F. Left ventricular aneurysm: a new surgical approach.Thorac Cardiovasc Surg 1989;37: 11–9.

    Article  PubMed  CAS  Google Scholar 

  5. Cooley DA, Ventricular endoaneurysmorrhaphy: a simplified repair for extensive postinfarction aneurysmJ Cardiac Surg 1989;4: 200–5.

    Article  CAS  Google Scholar 

  6. Akins CW. Resection of left ventricular aneurysm during hypothermic fibrillatory arrest without aortic occlusion.J Thorac Cardiovasc Surg 1986;91: 610–8.

    PubMed  CAS  Google Scholar 

  7. Loop Fd, Effler DB, Navia JA, Sheldon WC, Groves LK. Aneurysms of the left ventricle: survival and results of a 10 year experience.Ann Surg 1973;178: 399–405.

    Article  PubMed  CAS  Google Scholar 

  8. Barratt-Boyes BG, White HD, Agnew TW, Pemberton JR, Wild CJ. The results of surgical treatment of left ventricular aneurysms.J Thorac Cardiovasc Surg 1984;87: 87–98.

    PubMed  CAS  Google Scholar 

  9. Magowern GH, Sakert T, Simpson K, et al. Surgical therapy for left ventricular aneurysms. A ten year experience.Circulation 1989:79: 102–7.

    Google Scholar 

  10. Cosgrove DM, Lytle BW, Taylor PC, et al. Ventricular aneurysm resection. Trends in surgical risk.Circulation 1989;79: 97–101.

    Google Scholar 

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Chatterjee, S. Endoaneurysmorrhaphy: A technique to improve ejection fraction in left ventricular aneurysms. Indian J Thorac Cardiovasc Surg 9, 31–34 (1993). https://doi.org/10.1007/BF02665334

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