Left Ventricular Aneurysm: A New Surgical Approach

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Left Ventricular Aneurysm (n=130). Intervention: Endoventricular circular plasty. Primary outcome: Hospital deaths.

Vincent Dor; M Saab; Philippe Coste; Malgorzata Kornaszewska; F. Montiglio

doi:10.1055/s-2007-1013899

February 1, 1989The Thoracic and Cardiovascular Surgeon

Left Ventricular Aneurysm: A New Surgical Approach

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Key Points

To evaluate a new surgical technique for reconstructing the left ventricle using a circular patch.
Resection of akinetic LV free wall and thrombectomy as indicated.
Dacron patch secured at the junction of endocardial muscle and scarred tissue.
Myocardial revascularization performed with focus on the proximal left anterior descending artery.
Out of 130 cases, major indications for surgery included angina (40%), cardiac failure (35%), and arrhythmias (10%).
There were 8 hospital deaths and 4 late mortalities related to recurrence of cardiac failure in the group.

Study Design

Type

Observational (n=130)

Structured PICO

P

Population

130 cases of left ventricular (LV) reconstruction since 1984. Main indications for surgery were angina (40%), cardiac failure (35%), and arrhythmias (10%).

I

Intervention

Endoventricular circular plasty involving resection of dyskinetic or akinetic LV free wall and thrombectomy, securing a dacron patch lined with pericardium at the junction of endocardial muscle and scarred tissue, and myocardial revascularization as indicated.

O

Outcome

Hospital deaths and late mortalitieshard clinical

Implication

Endoventricular circular plasty is a surgical technique for left ventricular aneurysm reconstruction that aims to achieve a more physiologic LV cavity, with reported hospital and late mortality outcomes.

Abstract

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Discussion

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Cite This Study

Dor et al. (1989) conducted an observational in Left Ventricular Aneurysm (n=130). Endoventricular circular plasty was evaluated on Hospital deaths.

synapsesocial.com/papers/6a07b4a615d371b388386835 https://doi.org/10.1055/s-2007-1013899

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Left Ventricular Aneurysm: A New Surgical Approach

Key Points

Study Design

Structured PICO

Implication

Abstract

Discussion

Cite This Study

Left Ventricular Aneurysm: A New Surgical Approach

Key Points

Study Design

Structured PICO

Implication

Abstract

Discussion

Cite This Study

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