Ventricular aneurysmectomy. A 25-year experience.
OBJECTIVE
This study determined predictors of operative survival and improved long-term outcomes in patients undergoing ventricular aneurysmectomy.


BACKGROUND
Since the first successful repair of ventricular aneurysm in 1958, refined technique and improvement in perioperative care have been introduced to lower morbidity and mortality.


METHODS
The authors reviewed their institutional experience from 1968 through 1993 in treating 523 patients who underwent ventricular aneurysmectomy.


RESULTS
Overall operative mortality was 8% and overall median survival was 128 months. Contractility grade, age, and year of operation were predictors of operative mortality and of improved long-term survival. Type of aneurysm repair was not a strong predictor of operative mortality or improved long-term survival.


CONCLUSIONS
Ventricular aneurysmectomy can be performed safely using one of a number of established techniques, although operative mortality and long-term survival may not depend on the techniques used.
Coltharp
W H
WH
Division of Cardiac and Thoracic Surgery, St. Thomas Hospital, Nashville, Tennessee.
Hoff
S J
SJ
Stoney
W S
WS
Alford
W C
WC
Burrus
G R
GR
Glassford
D M
DM
Lea
J W
JW
Petracek
M R
MR
Starkey
T D
TD
Shuman
T A
TA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006322:Heart Aneurysm / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D006352:Heart Ventricles / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009200:Myocardial Contraction; D011183:Postoperative Complications / Q000453:epidemiology; D015996:Survival Rate; D013997:Time Factors; D016896:Treatment Outcome