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ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Periodicità: Bimestrale

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 1999 Agosto;40(4):473-6

CARDIAC PAPERS 

 ORIGINAL ARTICLES

Inci­dence of ­postinfarc­tion aneu­rysm within one ­month of ­infarct. Expe­ri­ences ­with six­teen ­patients in ­Hawaii

Premaratne S., Razzuk A. M.*, Koduru S. B., Behling A.**, McNamara J. J.**

From the ­Hunter ­Holmes ­McGuire Vet­e­rans Admin­is­tra­tion Med­ical ­Center and Depart­ment of ­Internal Med­i­cine Med­i­cine Col­lege of Vir­ginia, Vir­ginia Com­mon­wealth Uni­ver­sity, Rich­mond, Vir­ginia, USA
* Depart­ment of Sur­gery and ** Depart­ment of ­Human Nutri­tion Uni­ver­sity of ­Hawaii at ­Manoa, Hon­olulu, ­Hawaii Depart­ment of Sur­gery, ­John A. ­Burns ­School of Medicine Uni­ver­sity of ­Hawaii at ­Manoa, Hon­olulu and Car­di­o­vas­cular ­Research Labor­a­tory The ­Queen’s Med­ical ­Center Hon­olulu, ­Hawaii

Back­ground. We ­report on six­teen ­patients ­with a ­left ven­tric­ular aneu­rysm pre­senting at ­less ­than a ­month fol­lowing myo­car­dial infarc­tion.
­Methods. All ­patients had sig­nif­i­cant ­left ante­rior ­descending cor­o­nary ­artery dis­ease, and in ­eight ­cases (50%), ­this was the ­only sig­nif­i­cant ­pathology. Two ­patients who ­were ­treated con­ser­va­tively, ­died ­within ­three ­months of infarc­tion.
­Results. Of the four­teen sur­gi­cally ­treated ­patients, one ­died. ­There ­have ­been two ­late ­deaths, one at ten ­months and the ­other at ­four ­years ­postinfarc­tion. ­Patients who ­present ­early ­after infarc­tion, usu­ally ­have a ­large ante­rior aneu­rysm, ­requiring ­early sur­gical ­repair ­with ven­tric­ular aneu­rys­mec­tomy and revas­cu­lar­iza­tion. ­This ­group of ­patients ­showed a ­higher ­risk for ­major com­pli­ca­tions (­such as ­thrombo-embo­lism, arrhyth­mias) and/or ­death. Emer­gency cor­o­nary ­artery ­bypass sur­gery may ­prove ben­e­fi­cial in the pre­ven­tion of aneu­rysm for­ma­tion by revas­cu­lar­izing the ­viable but ­ischemic ­tissue in ­that ­area.

lingua: Inglese


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