TITLE:
Management of Left Ventricular Aneurysm: A Study from Iraq
AUTHORS:
Abdulsalam Y. Taha, Bassam A. Mahmoud
KEYWORDS:
Left Ventricular Aneurysm; Post-Ischemic VSD; Linear Repair and Dor Technique
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.5 No.4,
January
29,
2014
ABSTRACT: Background: The most appropriate surgical approach for post-myocardial infarction
left ventricular aneurysm (LVA) is controversial. This study aims to display
the results of surgical treatment of LVA in a major Iraqi cardiac surgical center. Methods: The
surgical management of LVAs over the period 2001 to 2011 was retrospectively reviewed. The presenting signs and symptoms, results of
investigations, operative findings, and outcomes of patients were determined. Results: Twenty-seven true LVAs associated with 4
ventricular septal defects (VSDs) were treated surgically. During the
same period, 1136 coronary artery bypass graft (CABG) operations were done, thus LVA represented 2.4%. Males constituted the majority (74.1%). The
mean age was 54.6 years old. The typical ECG changes were seen in
42.1%. Apical and antero-apical locations predominated. The majority of patients
(84.2%) had subnormal values of ejection fraction (EF). Most patients had
multi-vessel coronary artery disease (CAD). The most frequent
was the left anterior descending artery (LAD). All patients had CABG except 3.
Linear repair and Dor technique were used equally. The commonest postoperative
complication was bleeding (38.4%). The overall hospital mortality was 18.5%. Conclusion: Concomitant CABG improves
early postoperative course and must be added when significant lesions in coronary arteries particularly the LAD are
present.