HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Maninder S Kalkat Uday Dandekar Adrian Levine Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Kalkat, M. S Articles by Levine, A. Search for Related Content PubMed PubMed Citation Articles by Kalkat, M. S Articles by Levine, A. Related Collections Myocardial infarction

Left Ventricular Aneurysmectomy: Tailored Scar Excision and Linear Closure

University Hospital of North Staffordshire, Stoke-on-Trent, United Kingdom

For reprint information contact: Maninder S Kalkat, FRCS Tel: 44 192 262 4653 Fax: 44 121 627 5736 Email: mankalkat{at}hotmail.com, Department of Cardiothoracic Surgery, University Hospital of North Staffordshire, Stoke-on-Trent, ST4 7LN, United Kingdom.

Coronary artery bypass surgery with or without aneurysmectomy is used to treat patients with left ventricular aneurysm. There is debate about patient selection and the appropriate surgical technique. We analyzed the results of 102 consecutive patients who underwent left ventricular aneurysmectomy and reconstruction using a modified linear closure technique between 1992 and 2003. The mean age was 62 years, 81% of the patients were male, and 47% had an ejection fraction < 35%. The locations of the left ventricular aneurysms were anteroapical (75%), apical (21%), and posteroinferior (4%); 23% contained thrombi. Additional procedures included aortic valve replacement in 4, mitral valve repair in 1, and coronary bypass grafting in 98 patients; 3 underwent isolated repair of left ventricular aneurysm. Hospital mortality was 7% and long-term survival was 76% at a mean follow-up of 39 months. Most patients improved symptomatically postoperatively. Left ventricular aneurysm repair with tailored scar excision and a modified closure technique is associated with acceptable mortality and long-term survival.