Harran Üniversitesi Tıp Fakültesi Dergisi

Yazarlar: Alper Sami KUNT, Osman Tansel DARÇIN, Salih AYDIN, Deniz DEMİR, Cüneyt ŞELLİ

Konular:-

Anahtar Kelimeler:Left ventricular aneurysm,Coronary artery bypass surgery,Lineer closure

Özet: Background: Aneurysm repair is an important therapeutic intervention which improves the survival and life quality of patients with left ventricular aneurysm. In this study, we present our early results of patients with the left ventricular aneurysm which treated surgically. Methods: Between January 2001 and October 2002, 17 patients underwent surgical repair for postischemic left ventricular aneurysm. Fifteen 88.2% of the patients were male and mean age was 58.53 ± 10.78 years. Linear closure employed in all patients. Complete coronary revascularization was routinely added in all cases. Results: There was no early mortality. Low cardiac output developed in 5 % 29.41 patients and treated by inotropic agents and 2 of them intraaortic balloon pump support. Atrial fibrillation and ventricular arrhytmia developed in 5 29.41% of the patients and all of them converted to sinus rhythm with antiarhythmic agents. Average stay in intensive care unit and hospital stay were 2.83 ± 1.29 and 7.74 ± 2.14 days, respectively. Functional status improved in all patients. Conclusions: Regardless repair method left ventricular aneurysm repair combined with complete coronary revascularization can be performed safely with reliable improvements regarding survival and functional status.

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