PMID- 10637391
OWN - NLM
STAT- MEDLINE
DCOM- 20000210
LR  - 20061115
IS  - 1341-1098 (Print)
IS  - 1341-1098 (Linking)
VI  - 5
IP  - 6
DP  - 1999 Dec
TI  - Repair of the left ventricular aneurysm: twenty-two years of experience with 
      long-term results.
PG  - 396-401
AB  - METHODS: 1. All patients had preoperative investigations including coronary 
      angiography and left ventriculography. 2. Clinical symptoms, functional outcome 
      and survival rate were analyzed from medical records, patient's follow-up visits, 
      and communications from the referring physicians. 3. All survivors were assessed 
      for clinical functional status and survival rate at the most recent follow-up 
      visits. MAIN OUTCOME MEASURES: long-term postoperative survival rate and the 
      improvement of clinical outcomes. RESULTS: Repair of the left ventricular 
      aneurysm alone was performed in 9 patients (19.15%). Repair of the left 
      ventricular aneurysm combined with coronary artery bypass grafting was performed 
      in 38 patients (80.85%). There was only one death (2.13%) in this study. There 
      was a significant increase in the postoperative mean ejection fraction (EF) of 
      the left ventricle (LV) of 16.83+/-4.93% (p < 0.01) when compared to the 
      preoperative mean EF of the LV. Long-term follow-up of linear repair of the left 
      ventricular aneurysm at a mean of 12.96 years was carried out. 78.13% of patients 
      clinically improved according to the New York Heart Association (NYHA) functional 
      class and Kaplan-Meier's method long-term survival rate of 66.61%. CONCLUSION: 
      Left ventricular aneurysm was best managed by surgical repair with improvement in 
      quality of life.
FAU - Surakiatchanukul, S
AU  - Surakiatchanukul S
AD  - Division of Thoracic and Cardiovascular Surgery, Vajira Hospital, 681 Samsen 
      Road, Bangkok 10300, Thailand.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Japan
TA  - Ann Thorac Cardiovasc Surg
JT  - Annals of thoracic and cardiovascular surgery : official journal of the 
      Association of Thoracic and Cardiovascular Surgeons of Asia
JID - 9703158
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cause of Death
MH  - Coronary Angiography
MH  - Coronary Artery Bypass
MH  - Female
MH  - Follow-Up Studies
MH  - Gated Blood-Pool Imaging
MH  - Heart Aneurysm/*surgery
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Stroke Volume/physiology
MH  - Survival Rate
MH  - Treatment Outcome
MH  - Ventricular Function, Left/physiology
EDAT- 2000/01/19 00:00
MHDA- 2000/01/19 00:01
CRDT- 2000/01/19 00:00
PHST- 2000/01/19 00:00 [pubmed]
PHST- 2000/01/19 00:01 [medline]
PHST- 2000/01/19 00:00 [entrez]
PST - ppublish
SO  - Ann Thorac Cardiovasc Surg. 1999 Dec;5(6):396-401.