Surgical management of left ventricular aneurysms by endoventricular pericardial patch plasty.
BACKGROUND
Early and late surgical outcomes of endocardial resection and aneursymectomy repaired with an autologous pericardial patch were studied.


METHODS
We studied 125 patients who underwent endoaneurysmorrhaphy with pericardial patch during the period from June 1993 until June 2000. Preoperative, early and late postoperative results, annual postoperative echocardiography of all patients and hemodynamic controls of 35 patients within a mean follow-up of 64+/-8 months were analyzed.


RESULTS
Mean NYHA improved to postoperative 2.1+/-0.5 from preoperative 2.8+/-0.4. Mean number of bypass grafts was 2.6+/-1.1. Left ventricular ejection fraction rate improved to 36.2+/-8% in one month, 39.3+/-9% in 6 months, 42.3+/-8% in one year versus preoperative 29.2+/-9% (P< or =0.05).Perioperative mortality was 6.4% (eight patients) and 11 deaths were observed in the late follow-up (9.4%).


CONCLUSIONS
Endoaneurysmorrhaphy with pericardial patch may be an alternative option in the management of left ventricular aneurysms within acceptable surgical results.
Suzer
Kaya
K
Department of Thoracic and Cardiovascular Surgery, Bayindir Medical Center, Ankara, Turkey.
Yorgancioglu
Cem
C
Gunaydin
Serdar
S
Tokmakoglu
Hilmi
H
Tezcaner
Tevfik
T
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000150:complications / Q000601:surgery*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome