Why the study?
Does endoaneurysmorrhaphy with an autologous pericardial patch improve clinical and echocardiographic outcomes in patients with left ventricular aneurysms?
Does endoaneurysmorrhaphy with an autologous pericardial patch improve clinical and echocardiographic outcomes in patients with left ventricular aneurysms?
Endoaneurysmorrhaphy with an autologous pericardial patch for left ventricular aneurysms significantly improves NYHA functional class and left ventricular ejection fraction with acceptable mortality rates.
May support consideration in selected LV aneurysm patients; leaves open need for randomized comparisons.
Background: Early and late surgical outcomes of endocardial resection and aneursymectomy repaired with an autologous pericardial patch were studied. Methods: We studied 125 patients who underwent endoaneurysmorrhaphy with pericardial patch during the period from June 1993 until June 2000. Preoperative, early and late postoperative results, annual postoperative echocardiography of all patients and hemodynamic controls of 35 patients within a mean follow-up of 64±8 months were analyzed. Results: Mean NYHA improved to postoperative 2.1±0.5 from preoperative 2.8±0.4. Mean number of bypass grafts was 2.6±1.1. Left ventricular ejection fraction rate improved to 36.2±8% in one month. 39.3±9% in 6 months, 42.3±8% in one year versus preoperative 29.2±9% (P≤0.05). Perioperative mortality was 6.4% (eight patients) and 11 deaths were observed in the late follow-up (9.4%). Conclusion: Endoaneurysmorrhaphy with pericardial patch may be an alternative option in the management of left ventricular aneurysms within acceptable surgical results.
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Süzer et al. (2002) studied this question.
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