Evoluçäo imediata de pacientes submetidos a aneurismectomia de ventrículo esquerdo / Short-term follow-up of patients after aneurysmectomy of the left ventricle
Arq. bras. cardiol
; 75(5): 397-404, Nov. 2000.
Article
Dans Pt, En
| LILACS
| ID: lil-273495
Responsable en Bibliothèque :
BR1.1
ABSTRACT
OBJECTIVE:
Left ventricular aneurysm is a complication of myocardial infarction that can best be treated by reconstructive surgeries that can restore ventricular geometry. We analyzed immediate results in a group of consecutive patients who underwent surgical correction of left ventricular aneurysms.METHODS:
From January '90 to August '99, 94 patients - mean age 58.4 (ranging from 36 to 73 years), 65 (69.1 percent) males and 9 ( 30.8 percent) females - were operated upon. Pre-operative ejection fraction ranged from 0.22 to 0.58 (mean = 0.52), and the aneurysm was located in the antero-lateral area in 90.4 percent of the cases. Functional class III and IV (NYHA) was present in 82 (87.2 percent) patients, and 12 (12.7 percent) were in functional class I and II. Congestive heart failure was the most frequent cause (77.6 percent), occurring in isolation in 24.4 percent or associated with coronary artery diseases in 53.2 percent.RESULTS:
Short-term follow-up showed a 7.4 percent mortality, and low cardiac output was the main cause of death. Coming off pump was uneventful in 73 patients (77.6 percent), with a 3.2 percent mortality and with the use of inotropics in 20 (21.3 percent). One patient (1 percent) did not come off the pump.CONCLUSION:
Surgical correction was adequate in the immediate follow-up of operated patients, and mortality was higher in patients with higher functional class
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Dysfonction ventriculaire gauche
/
Anévrysme cardiaque
Type d'étude:
Etiology_studies
Limites du sujet:
Adult
/
Female
/
Humans
/
Male
langue:
En
/
Pt
Texte intégral:
Arq. bras. cardiol
Thème du journal:
CARDIOLOGIA
Année:
2000
Type:
Article