title: [Ventricular septal plication for post infarction anterior and anterior-septal aneurysm of the left ventricle].
abstract: OBJECTIVE
  To determine the use of septal plication with Dor or Cooley procedure for post infarction anterior and anterior-septal aneurysm of the left ventricle.
  
  
  METHODS
  A total of 23 patients with post infarction anterior and anterior-septal aneurysm of the left ventricle underwent septal plication and Dor or Cooley procedure along with coronary artery bypass grafting concomitantly. Data of NYHA grading, left ventricular end diastolic volume index (LVEDVI), left ventricular end systolic volume index (LVESVI) and left ventricular ejection fraction (LVEF) were recorded before the surgery, before discharge and 3 months after the surgery.
  
  
  RESULTS
  Compared with the preoperative data, the NYHA grading before the discharge and 3 months after the surgery improved from 3.21 ± 0.62 to 1.72 ± 0.31 and 1.57 ± 0.23(P<0.05); LVEDVI decreased from (102.31 ± 18.71) mL/m² to (62.11 ± 6.21) mL/m² and (54.63 ± 4.54) mL/m² (P<0.05); LVESVI decreased from (69.32 ± 17.48) mL/m² to (30.23 ± 3.25)mL/m² and (28.34 ± 3.12) mL/m²; while LVEF increased from (32.92 ± 8.12)% to (48.78 ± 4.51)% and (50.52 ± 4.68)% (P<0.05), respectively.
  
  
  CONCLUSIONS
  Ventricular septal plication combined with Dor or Cooley procedure can remarkably improve the left heart function in patients with post infarction ventricular aneurysm.
authors.affiliation: Department of Cardiovascular Surgery, First Affiliated Hospital of Zhengzhou University, China. xhsay@Hotmail.com
authors.forename: Huashan
authors.initials: H
authors.lastname: Xu
authors.forename: Wenzeng
authors.initials: W
authors.lastname: Zhao
authors.forename: Jing
authors.initials: J
authors.lastname: Xu
authors.forename: Chenhui
authors.initials: C
authors.lastname: Qiao
authors.forename: Chao
authors.initials: C
authors.lastname: Liu
authors.forename: Khan
authors.initials: K
authors.lastname: Mohammed Firoj
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000379:methods; D005260:Female; D006322:Heart Aneurysm / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D016277:Ventricular Function, Left / Q000502:physiology*; D054088:Ventricular Septum / Q000601:surgery*