HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Brawley, R. K. Articles by Donahoo, J. S. Search for Related Content PubMed PubMed Citation Articles by Brawley, R. K. Articles by Donahoo, J. S.

The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 120-128, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Influence of coronary artery anatomy on survival following resection of left ventricular aneurysms and chronic infarcts

RK Brawley, H Schaff, R Stevens, H Ducci, VL Gott and JS Donahoo

Left ventricular (LV) aneurysms were resected in 27 patients for treatment of congestive heart failure and in five patients for treatment of ventricular arrhythmia. There were eight early (25 per cent) and five late (15 per cent) deaths. Preoperative hemodynamics including analysis of left ventriculograms in the right anterior oblique position did not consistently predict survival. In contrast, coronary artery anatomy appeared to influence the mortality rate strikingly in patients with congestive heart failure. The hospital mortality rate was 6 per cent and the late mortality rate was 13 per cent for 16 patients with one-or two-vessel coronary artery disease, but with unobstructed LV lateral wall blood supply. All but one of the survivors obtained a good late result. In nine patients with two-and three-vessel coronary artery disease and obstructed LV lateral wall blood supply there were six hospital deaths and two late deaths. It is concluded that the presence or absence of occlusive disease in the arteries supplying the LV lateral wall is an important determinant of the mortality rate associated with resection of anterior apical LV aneurysms in patients with severe congestive heart failure.

This article has been cited by other articles:

				J. E. Hutchinson III, G. G. Green, H. A. Mekhjian, J. L. Camunas, S. M. Habal, E. M. Parodi, and M. J. Schwartz Combined Left Ventricular Aneurysm and Coronary Artery Bypass Surgery: Long-term Results of 100 Consecutive Patients Arch Surg, November 1, 1978; 113(11): 1236 - 1240. [Abstract] [PDF]

				R. C. Shaw, T. B. Ferguson, C. S. Weldon, and J. P. Connors Left Ventricular Aneurysm Resection: Indications and Long-Term Follow-Up Ann. Thorac. Surg., April 1, 1978; 25(4): 336 - 339. [Abstract] [PDF]