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  • Title: Repair of the left ventricular aneurysm: twenty-two years of experience with long-term results.
    Author: Surakiatchanukul S.
    Journal: Ann Thorac Cardiovasc Surg; 1999 Dec; 5(6):396-401. PubMed ID: 10637391.
    Abstract:
    METHODS: 1. All patients had preoperative investigations including coronary angiography and left ventriculography. 2. Clinical symptoms, functional outcome and survival rate were analyzed from medical records, patient's follow-up visits, and communications from the referring physicians. 3. All survivors were assessed for clinical functional status and survival rate at the most recent follow-up visits. MAIN OUTCOME MEASURES: long-term postoperative survival rate and the improvement of clinical outcomes. RESULTS: Repair of the left ventricular aneurysm alone was performed in 9 patients (19.15%). Repair of the left ventricular aneurysm combined with coronary artery bypass grafting was performed in 38 patients (80.85%). There was only one death (2.13%) in this study. There was a significant increase in the postoperative mean ejection fraction (EF) of the left ventricle (LV) of 16.83+/-4.93% (p < 0.01) when compared to the preoperative mean EF of the LV. Long-term follow-up of linear repair of the left ventricular aneurysm at a mean of 12.96 years was carried out. 78.13% of patients clinically improved according to the New York Heart Association (NYHA) functional class and Kaplan-Meier's method long-term survival rate of 66.61%. CONCLUSION: Left ventricular aneurysm was best managed by surgical repair with improvement in quality of life.
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