Left ventricular aneurysmal repair within 30 days after acute myocardialinfarction Early and mid term outcomes

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dc.authorid9608en_US
dc.authorid8752en_US
dc.authorid223334en_US
dc.contributor.authorBattaloğlu, Bektaş
dc.contributor.authorErdil, Nevzat
dc.contributor.authorNisanoğlu, Vedat
dc.date.accessioned2017-10-24T06:27:52Z
dc.date.available2017-10-24T06:27:52Z
dc.date.issued2007
dc.departmentİnönü Üniversitesien_US
dc.description(Tex Heart Inst J 2007;34:154-9)en_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 2001 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 infarction. 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 1 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 reexploration 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. (Tex Heart Inst J 2007;34: 154-9)en_US
dc.identifier.citationBattaloğlu, B., Erdil, N., & Nisanoğlu, V. (2007). Left Ventricular Aneurysmal Repair Within 30 Days After Acute Myocardialinfarction Early And Mid Term Outcomes. Texas Heart Instıtute Journal, 34(2), 154–159.en_US
dc.identifier.endpage159en_US
dc.identifier.issue2en_US
dc.identifier.startpage154en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1894711/pdf/20070600s00004p154.pdf
dc.identifier.urihttps://hdl.handle.net/11616/7771
dc.identifier.volume34en_US
dc.language.isoenen_US
dc.publisherTexas Heart Instıtute Journalen_US
dc.relation.ispartofTexas Heart Instıtute Journalen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCardiac surgical proceduresen_US
dc.subjectHeart aneurysmen_US
dc.subjectHeart ventriclesen_US
dc.subjectMyocardial infarctionen_US
dc.subjectRisk Factorsen_US
dc.subjectRetrospectiveen_US
dc.subjectSuture techniquesen_US
dc.titleLeft ventricular aneurysmal repair within 30 days after acute myocardialinfarction Early and mid term outcomesen_US
dc.typeArticleen_US

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