PMID- 3805116
OWN - NLM
STAT- MEDLINE
DCOM- 19870318
LR  - 20161123
IS  - 0021-9509 (Print)
IS  - 0021-9509 (Linking)
VI  - 28
IP  - 1
DP  - 1987 Jan-Feb
TI  - Left ventricular aneurysm surgery. Determinants of results.
PG  - 85-8
AB  - Between 1967 and 1983, 154 patients had reduction of left ventricular aneurysms 
      by resection or plication. Seventy percent of patients had predominant angina; 
      the remainder had predominant dyspnoea. Fifty-eight percent had associated 
      coronary bypass grafting. Within the group, there were included 26 patients who 
      had aneurysm resection for dyspnoea and who were evaluated by radionuclide 
      angiography at a mean follow-up of 17 + 11 months. There was a 20% early 
      mortality; this fell to 5% in the latter half of this experience. Patients whose 
      major symptom was angina had a 5% early mortality. Those whose major symptom was 
      severe dyspnoea had an early mortality of 30%. Patients who had aneurysm 
      reduction alone had an early mortality of 17% and those who had associated bypass 
      grafting had an early mortality of 9%. There was a 48% late mortality, attrition 
      occurring at a steady rate and being predominantly due to cardiovascular causes. 
      Of 95 patients available for review between one and thirteen years after 
      operation, 60% were in New York Heart Association (N.Y.H.A.) functional class I, 
      36% in functional class II and 4% in classes III and IV. In patients whose 
      predominant symptom was dyspnoea, radionuclide studies showed that global left 
      ventricular performance at rest was not significantly changed by operation, 
      despite clinical improvement. Long-term clinical outcome was determined more by 
      pre-operative global ventricular function than by function of the residual 
      contractile segment. Within the whole group, however, both early mortality and 
      symptomatic improvement were more likely in patients with predominant angina.
FAU - Wright, J S
AU  - Wright JS
FAU - Stacey, R B
AU  - Stacey RB
FAU - Albrecht, H
AU  - Albrecht H
FAU - Murton, M M
AU  - Murton MM
LA  - eng
PT  - Journal Article
PL  - Italy
TA  - J Cardiovasc Surg (Torino)
JT  - The Journal of cardiovascular surgery
JID - 0066127
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Aneurysm/diagnostic imaging/mortality/*surgery
MH  - Heart Ventricles/diagnostic imaging/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Radionuclide Imaging
EDAT- 1987/01/01 00:00
MHDA- 1987/01/01 00:01
CRDT- 1987/01/01 00:00
PHST- 1987/01/01 00:00 [pubmed]
PHST- 1987/01/01 00:01 [medline]
PHST- 1987/01/01 00:00 [entrez]
PST - ppublish
SO  - J Cardiovasc Surg (Torino). 1987 Jan-Feb;28(1):85-8.