Current Surgical Management of Left Ventricular Aneurysm

One hundred thirty-two patients with ventricular aneurysm had cardiac catheterization, coronary angiography, and ventriculography. More than 50% of the patients, in addition to aneurysmectomy, had other procedures consisting of revascularization, mitral valve replacement, and closure of ventricular septal perforation. The overall mortality was 10%. Aneurysmectomy alone had a higher mortality (9%) when compared with combined resection of the aneurysm and coronary bypass (5.4%). During a six-month to 4½-year follow-up (mean, 21 months), seven patients died, representing a late mortality of 6%. This study confirms the importance of complete cardiac evaluation in patients with ventricular aneurysm and shows that, in spite of extensive combined operative procedures required in more than 50% of the patients, the results are favorable.