[Post-infarct cardiac aneurysm: clinical picture and contractile function of the myocardium in the remote period after surgical treatment].
Late results of surgery for chronic postinfarction aneurysm of the heart were reviewed in 48 patients. Comprehensive clinical and instrumental investigation demonstrated that aneurysm resection alone or in combination with aorto-coronary shunting or ventricular septoplasty resulted in clinical improvement in 60.4% of patients. However, surgery had basically no positive effect on left-ventricular myocardial contractility and pulmonary hemodynamics. The lack of positive changes in myocardial contractility is due to marked asynergy (akinesia) developing around the post-operative scar. The late postoperative outcome depends on both the type (akinetic or dyskinetic) of heart aneurysm, and timely referral for surgical treatment.
D000328:Adult; D001026:Coronary Artery Bypass; D005080:Exercise Test; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000175:diagnosis / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D009200:Myocardial Contraction; D009203:Myocardial Infarction / Q000150:complications*; D011379:Prognosis; D011652:Pulmonary Circulation
Postinfarktnaia anevrizma serdtsa: klinika i sokratitel'naia funktsiia miokarda v otdalennom periode posle khirurgicheskogo lecheniia.