PMID- 7909672
OWN - NLM
STAT- MEDLINE
DCOM- 19940609
LR  - 20190512
IS  - 1010-7940 (Print)
IS  - 1010-7940 (Linking)
VI  - 8
IP  - 2
DP  - 1994
TI  - Surgical treatment of left ventricular aneurysm--assessment of risk factors for 
      early and late mortality.
PG  - 67-73
AB  - Consecutive patients operated on for left ventricular aneurysm from 1970 through 
      August 1989 (n = 303) were evaluated with respect to survival. Early mortality, 
      i.e. within 30 days, was 8.9%; 23% in patients who underwent aneurysm resection 
      alone, 8.1% in cases of aneurysm resection with coronary artery bypass grafting 
      (CABG), and 6.3% in those undergoing CABG only. Multivariate logistic regression 
      revealed that advanced New York Heart Association (NYHA) functional class, 
      non-use of the internal mammary artery as a graft and thromboendarterectomy 
      increased the early risk. The total observed survival was 86% at 1 year, 72% at 5 
      years and 45% at 10 years. Multivariate analysis based on observed survival, 
      using the Cox proportional hazards model, identified advanced NYHA functional 
      class and non-use of the internal mammary artery as independent indicators of 
      poor survival. Relative mortality, defined as the ratio of observed mortality in 
      the study group to mortality among comparable persons from the general Swedish 
      population, was used as a measure of disease-specific mortality. An apparent 
      excess mortality in patients operated on for left ventricular aneurysm was found. 
      A notable finding was that the use of the internal mammary artery to graft the 
      left anterior descending artery improved the outcome substantially in patients 
      with a left ventricular aneurysm.
FAU - Stahle, E
AU  - Stahle E
AD  - Department of Thoracic and Cardiovascular Surgery, University Hospital, Uppsala, 
      Sweden.
FAU - Bergstrom, R
AU  - Bergstrom R
FAU - Nystrom, S O
AU  - Nystrom SO
FAU - Edlund, B
AU  - Edlund B
FAU - Sjorgren, I
AU  - Sjorgren I
FAU - Holmberg, L
AU  - Holmberg L
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Germany
TA  - Eur J Cardiothorac Surg
JT  - European journal of cardio-thoracic surgery : official journal of the European 
      Association for Cardio-thoracic Surgery
JID - 8804069
SB  - IM
MH  - Adult
MH  - Aged
MH  - Angina Pectoris/mortality/physiopathology/surgery
MH  - Cause of Death
MH  - Combined Modality Therapy
MH  - Coronary Disease/mortality/physiopathology/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Aneurysm/mortality/physiopathology/*surgery
MH  - Heart Failure/mortality/physiopathology/surgery
MH  - Hemodynamics/physiology
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Revascularization
MH  - Postoperative Complications/*mortality/physiopathology
MH  - Proportional Hazards Models
MH  - Reoperation
MH  - Survival Rate
MH  - Ventricular Function, Left/*physiology
EDAT- 1994/01/01 00:00
MHDA- 1994/01/01 00:01
CRDT- 1994/01/01 00:00
PHST- 1994/01/01 00:00 [pubmed]
PHST- 1994/01/01 00:01 [medline]
PHST- 1994/01/01 00:00 [entrez]
AID - 10.1016/1010-7940(94)90094-9 [doi]
PST - ppublish
SO  - Eur J Cardiothorac Surg. 1994;8(2):67-73. doi: 10.1016/1010-7940(94)90094-9.