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THE 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
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ORIGINAL ARTICLES CARDIAC PAPERS
The Journal of Cardiovascular Surgery 1999 August;40(4):473-6
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.