Surgical Treatment of Ventricular Aneurysm

Cardiac ventricular aneurysm

“…According to Effler et al (1963) this is the only site where a large enough area of muscle replacement by fibrous tssue is compatible with an adequate collateral circulation, and with restriction of infarction to the ventricular wall alone, so allowing both survival of the patient and the development of an aneurysm. In the series of 82 aneurysms occurring in 80 necropsy patients studied by Dubnow et al (1965), 79% of the aneurysms were situated in the anterior wall or apex of the left ventricle, and 31 of the 40 aneurysms studied at necropsy by Phares et al (1953) occurred at the same sites (Edwards, 1961).…”

“…Kerr et al (1961) (Schlichter et at., 1954;Kerr et al, 1961;Telling and Wooler. 1961 ;Effler et al, 1963;Cooley et al, 1964), and which is eventually the main or a contributory cause of death (Schlichter et al, 1954). Of the 37 patients operated upon by Cooley et al (1964), 31 had left ventricular failure, and this was severe in all but five of them.…”

“…ARRHYTHMIA This is not uncommon. It may be paroxysmal (Effler et al, 1963) and is especially likely to occur in the terminal stages in association with left ventricular failure. It may take the form of conduction defects or of atrial or ventricular arrhythmia.…”

“…This is a useful procedure to determine both the major site or sites of coronary arterial occlusion and to assess the condition of the remainder of the coronary bed (Effler et al, 1963 ;Abrams et al, 1963;Gorlin et al, 1967). Gorlin et al (1967) showed that no aneurysm occurred without severe involvement of the main arteries, usually occlusion, local to the area.…”

“…Rupture is common in traumatic aneurysms (Kerr et al, 1961;Panday et al, 1965), and probably in infective ones, but is rare in those following myocardial infarction (Kerr et al, 1961;Effler et al, 1963;Abrams et al, 1963;Bjork, 1964;Cooley et al, 1964;Dubnow et al, 1965).…”