The long-term results of post-infarction left ventricular aneurism surgery

Objective. Long-term surgical results of the 57 patients with left ventricular (LV) aneurism were estimated. Design and methods. Depending on a type of LV reconstruction, patients were divided into two groups. The first group included 42 patients after linear LV repair, and the second group included 15 patients after LV inner LV repair. Results. In first group patients had the following transthoracix echocardiography (TTE) indexes: LV end diastolic volume (EDVLV) - 206±43.1 ml, ejection fraction (EF %) (Simpson) - 41.7±7.2. For the second group, these indexes were 264.8±58.2 ml and 32.8±5.2%, respectively. 7 days after surgery the follow-up data were: 1 group, 165.5±35.7 ml and 44.9±7.9%; 2 group, 180.1±44.9 ml and 41.8±5.5% for EDVLV and EF, respectively. We detected a trend towards an increase in EDVLV and a decrease in EF during the follow-up, but the difference was not statistically significant. Conclusion. Use of this surgical method allows to improve LV function in the postoperative period. The effect of operation remains sustained in the remote period following both linear and inner LV repair.

left ventricular aneurism , linear left ventricular repair , inner left ventricular repair , left ventricular end diastolic volume , ejection fraction

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