PMID- 17519842
OWN - NLM
STAT- MEDLINE
DCOM- 20071127
LR  - 20070523
IS  - 0026-4733 (Print)
IS  - 0026-4733 (Linking)
VI  - 62
IP  - 3
DP  - 2007 Jun
TI  - Surgical treatment in postinfarction left ventricular pseudoaneurysm.
PG  - 173-7
AB  - AIM: We evauated the outcome of patients with left ventricular pseudoaneurysms, 
      focusing on those treated surgically. METHODS: Between June 1990 and March 2007, 
      7 patients underwent surgery because of left ventricular pseudoaneursym following 
      myocardial infarction, at our institution. The median time interval between 
      myocardial infarction and the diagnosis of left ventricular psedoaneursym was 2.6 
      months (range: 15 days to 8 months). The aneursym was resected and the defect was 
      closed with a Teflon patch or direct sutures. RESULTS: The location of the 
      pseudoaneursym was posterior in 3 patients, inferolateral in 3 patients and 
      anterolateral in 1 patient. The aneursym was resected and the defect was closed 
      with a Teflon patch in 6 patients. In 1 patient with chronic pseudoaneurysm, the 
      defect was closed with direct sutures reinforced with Teflon felt. In addition, 5 
      patients underwent coronary artery bypass grafting. The patients have been 
      followed-up for a mean period of 45 months (range: 24 to 109 months). CONCLUSION: 
      There was no intraoperative death. However, 2 patients died due to multiple organ 
      failure, one 17 days and the other 1 month after the surgical operation. There 
      was 1 late death due to the cancer. Currently, 1 patient is free of any cardiac 
      symptoms, 2 patients have New York Heart Association (NYHA) Class II heart 
      failure, and 1 patient with moderate mitral regurgitation is in class III.
FAU - Golbasi, I
AU  - Golbasi I
AD  - Department of Cardiovascular Surgery, Akdeniz University School of Medicine, 
      Antalya, Turkey. golbasi@akdeniz.edu.tr
FAU - Atahan, E
AU  - Atahan E
FAU - Turkay, C
AU  - Turkay C
FAU - Talay, S
AU  - Talay S
FAU - Tuncay, D
AU  - Tuncay D
FAU - Mete, A
AU  - Mete A
FAU - Bayezid, O
AU  - Bayezid O
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Italy
TA  - Minerva Chir
JT  - Minerva chirurgica
JID - 0400726
SB  - IM
MH  - Aged
MH  - Aneurysm, False/etiology/*surgery
MH  - Heart Aneurysm/etiology/*surgery
MH  - *Heart Ventricles
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*complications
RF  - 17
EDAT- 2007/05/24 09:00
MHDA- 2007/12/06 09:00
CRDT- 2007/05/24 09:00
PHST- 2007/05/24 09:00 [pubmed]
PHST- 2007/12/06 09:00 [medline]
PHST- 2007/05/24 09:00 [entrez]
PST - ppublish
SO  - Minerva Chir. 2007 Jun;62(3):173-7.