Left ventricular aneurysmal repair within 30 days after acute myocardial infarction - Early and mid-term outcomes

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dc.authoridErdil, Nevzat/0000-0002-8275-840X;
dc.authorwosidErdil, Nevzat/K-8079-2019
dc.authorwosidBattaloglu, Bektas/ABI-6211-2020
dc.contributor.authorBattaloglu, Bektas
dc.contributor.authorErdil, Nevzat
dc.contributor.authorNisanoglu, Vedat
dc.date.accessioned2024-08-04T20:59:50Z
dc.date.available2024-08-04T20:59:50Z
dc.date.issued2007
dc.departmentİnönü Üniversitesien_US
dc.description.abstractFor safe resection, left ventricular aneurysmal repair after acute myocardial infarction is usually delayed. However delaying surgery may not be possible or prudent in some patients who are clinically unstable after acute myocardial infarction. We retrospectively reviewed the early and mid-term outcomes of left ventricular aneurysmal repair in patients who had experienced acute myocardial infarction <30 days before the repair. From September 2007 through May 2006, 127 consecutive post-infarction patients underwent concurrent anteroapical left ventricular aneurysmal repair and coronary artery bypass grafting. In Group I (38 clinically unstable patients), the surgery was performed <30 days after myocardial intarction. In Group II, 89 patients underwent the surgery >= 30 days after infarction. The mean follow-up period was 26.16 +/- 16.41 months. One Group I patient (2.6%) died in the hospital due to graft-versus-host reaction. Three Group II patients (3.4%) died- 2 of low cardiac output and I of multiple-organ failure. Hospital mortality rates were not statistically significant between groups (P=0.582). All patients required similar perioperative inotropic support, intra-aortic balloon pump support, and re-exploration for bleeding or cardiac tamponade. The actuarial survival rates were 94.7% (Group I) and 94.4 % (Group II). Postoperative New York Heart Association functional class improved similarly In both groups. We infer that left ventricular aneurysmal repair with coronary revascularization <30 days after a recent myocardial infarction is a feasible procedure, with acceptable morbidity and mortality rates. Our mid-term results were comparable with those for patients who underwent this surgery >= 30 days after acute myocardial infarction.en_US
dc.identifier.endpage159en_US
dc.identifier.issn0730-2347
dc.identifier.issn1526-6702
dc.identifier.issue2en_US
dc.identifier.pmid17622360en_US
dc.identifier.startpage154en_US
dc.identifier.urihttps://hdl.handle.net/11616/103578
dc.identifier.volume34en_US
dc.identifier.wosWOS:000247419500004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTexas Heart Insten_US
dc.relation.ispartofTexas Heart Institute Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcardiac surgical procedures/methods/mortalityen_US
dc.subjectheart aneurysm/complications/mortality/pathology/surgeryen_US
dc.subjectheart mventricles/pathology/surgeryen_US
dc.subjectmyocardial infarction/complications/surgeryen_US
dc.subjectreconstructive surgical proceduresen_US
dc.subjectretrospective studiesen_US
dc.subjectrisk factorsen_US
dc.subjectsurvival analysisen_US
dc.subjectsuture techniquesen_US
dc.subjecttime factorsen_US
dc.subjecttreatment outcomeen_US
dc.subjectventricular dysfunctionen_US
dc.subjectleft/surgeryen_US
dc.titleLeft ventricular aneurysmal repair within 30 days after acute myocardial infarction - Early and mid-term outcomesen_US
dc.typeArticleen_US

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