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Current Surgical Management of Left Ventricular Aneurysm

Hassan Najafi, MD; William S. Dye, MD; Hushang Javid, MD; James A. Hunter, MD; Marshall D. Goldin, MD; Cyrus Serry, MD
Arch Surg. 1975;110(8):1027-1030. doi:10.1001/archsurg.1975.01360140171033.
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One hundred thirty-two patients with ventricular aneurysm had cardiac catheterization, coronary angiography, and ventriculography. More than 50% of the patients, in addition to aneurysmectomy, had other procedures consisting of revascularization, mitral valve replacement, and closure of ventricular septal perforation.

The overall mortality was 10%. Aneurysmectomy alone had a higher mortality (9%) when compared with combined resection of the aneurysm and coronary bypass (5.4%).

During a six-month to 4½-year follow-up (mean, 21 months), seven patients died, representing a late mortality of 6%. This study confirms the importance of complete cardiac evaluation in patients with ventricular aneurysm and shows that, in spite of extensive combined operative procedures required in more than 50% of the patients, the results are favorable.


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