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British Heart Journal, I972, 34, 83o-838. Ventricular aneurysm An appraisal of diagnosis and surgical treatment

By John D. Graberl, C. M. Oakley, B. N. Pickering, J. F. Goodwin, M. J. Raphael and R. E. Steiner


Twenty-three consecutive patients undergoing operation for left ventricular aneurysm are described with analysis of clinical and laboratory data obtained before and after operation. The reliability of various diagnostic methods is discussed. Five patients died in the perioperative period. Seven further patients have died during follow-up, 5 of recurrent myocardial infarction. The indications for operation are outlined with discussion of the benefits and limitations of cur-rent surgical treatment. It is felt that ventricular aneurysmectomy is indicated in a carefully selected group of patients. Though effects of surgical treatment on longevity cannot be completely evaluated, the status of the remaining coronary circulation appears to have an important influ-ence on long-term survival. Though ventricular aneurysm was first de-scribed by John Hunter (I757), this condition has come to be clinically recognized as an important complication of myocardial infarc-tion only in relatively recent times with the advent of improved methods of diagnosis

Year: 2016
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