Key result
Ventriculotomy closure with Teflon felt strips resulted in similar early mortality (P=0.246) and bleeding (P=0.371) compared to direct closure, but significantly higher arrhythmias (P=0.049).
Why the study?
Does ventriculotomy closure with Teflon felt strips compared to direct epicardial closure improve early postoperative outcomes in patients undergoing endoaneurysmorrhaphy for left ventricular aneurysm?
Population
73 patients with left ventricular aneurysm who underwent endoaneurysmorrhaphy repair between 1997 and 2009
Comparison
Ventriculotomy closure with Teflon felt strips vs Direct suture of the epicardium (primary closure)
Design
Cohort
Follow-up
early postoperative
Authors
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Teflon felt closure was associated with more arrhythmias; hypothesis-generating and leaves open optimal ventriculotomy technique pending randomized data.
Cohort (n=73)
Does ventriculotomy closure with Teflon felt strips compared to direct epicardial closure improve early postoperative outcomes in patients undergoing endoaneurysmorrhaphy for left ventricular aneurysm?
p-value: p=0.246
Direct epicardial closure of ventriculotomy after endoaneurysmorrhaphy may be superior to Teflon felt repair due to a lower incidence of postoperative arrhythmias.
Aliyev et al. (2016) conducted a cohort in Left ventricular aneurysm (n=73). Teflon felt strips for ventriculotomy closure vs. Direct suture of the epicardium was evaluated on Postoperative early mortality rate (p=0.246). Ventriculotomy closure with Teflon felt strips resulted in similar early mortality (P=0.246) and bleeding (P=0.371) compared to direct closure, but significantly higher arrhythmias (P=0.049).
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