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Manual of Cardiac Surgery pp 132–141Cite as

Left Ventricular Aneurysm

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Abstract

Left ventricular aneurysm develops following myocardial infarction in 10%–38% of patients.1,7,41 Since Cooley’s report9 in 1958 of resection utilizing cardiopulmonary bypass, the operation has become an established treatment for ventricular aneurysm causing congestive heart failure, intractable ventricular arrhythmia, or systemic emboli; resection of aneurysm in conjunction with coronary artery bypass for angina is also common.

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References

  1. Applebaum E, Nicholson GHB: Occlusive disease of the coronary arteries: analysis of pathological anatomy in 168 cases. Am Heart J 10:662,1935.

    Article  Google Scholar 

  2. Arthur A, Basta L, Kioschos M: Factors influencing prognosis in left ventricular aneurysmectomy. Circulation 46(Suppl II):II–127,1972.

    Google Scholar 

  3. Baudet M, Rigaud M, Rocha P, Bardet J, Bourdarias JP: Treatment of early postinfarction ventricular aneurysm by intra-aortic balloon pumping and surgery. J Thorac Cardiovasc Surg 78:445,1979.

    PubMed  CAS  Google Scholar 

  4. Borer JS, Jacobstein JG, Bacharach SL, Green MV: Detection of left ventricular aneurysm and evaluation of effects of surgical repair: the role of radionuclide cineangiography. Am J Cardiol 45:1103,1980.

    Article  PubMed  CAS  Google Scholar 

  5. Botvinik EH, Shames D, Hutchinson JC, Roe BB, Fitzpatrick M: Noninvasive diagnosis of a false left ventricular aneurysm with a radioisotope gated cardiac blood pool imaging: differentiating from true aneurysm. Am J Cardiol 37:1089, 1976.

    Article  Google Scholar 

  6. Burton NA, Stinson EB, Oyer PE, Shumway NE: Left ventricular aneurysm: preoperative risk factors and long-term postoperative results. J Thorac Cardiovasc Surg 77:65,1979.

    PubMed  CAS  Google Scholar 

  7. Cheng TO: Incidence of ventricular aneurysm in coronary artery disease: an angiographic appraisal. Am J Med 50:340,1971.

    Article  PubMed  CAS  Google Scholar 

  8. Cooley, DA: Ventricular endoaneurysmorrhaphy: a simplified repair for extensive postinfarction aneurysm. J Card Surg 4:200,1989.

    Article  PubMed  CAS  Google Scholar 

  9. Cooley DA, Collins HA, Morris GC Jr, Chapman DW: Ventricular aneurysm after myocardial infarction: surgical excision with use of temporary cardiopulmonary bypass. JAMA 167:557,1958.

    CAS  Google Scholar 

  10. Cooley DA, Norman JC: Techniques in Cardiac Surgery. Houston, Texas Medical Press, 1975, p 165.

    Google Scholar 

  11. Cosgrove DM, Loop FD, Irarrazaval MJ, Groves LK, Taylor PC, Golding LA: Determinants of long-term survival after ventricular aneurysmectomy. Ann Thorac Surg 26:357,1978.

    Article  PubMed  CAS  Google Scholar 

  12. Cosgrove DM, Lytle BW, Taylor PC, Stewart RW, Golding LAR, Mahfood S, Goormastic M, Loop FD: Ventricular aneurysm resection: trends in surgical risk. Circulation 79(Suppl I);I–97,1989.

    Google Scholar 

  13. Dor V, Saab M, Kornaszewska M, Montiglio F: Left ventricular aneurysm: a new surgical approach. Thorac Cardiovasc Surg 37:11,1989.

    Article  PubMed  CAS  Google Scholar 

  14. Dubnow MH, Burchell HB, Titus JH: Postinfarction ventricular aneurysm: a clinico-morphologic and electrocardiographic study of 80 cases. Am Heart J 70:753, 1965.

    Article  PubMed  CAS  Google Scholar 

  15. Dymond DS, Jarritt PH, Britton KE, Spurrell RAJ: Detection of postinfarction left ventricular aneurysm by first pass radionuclide ventriculography using a multicrystal gamma camera. Br Heart J 41:68,1979.

    Article  PubMed  CAS  Google Scholar 

  16. Ersek RA, Chesler E, Korns ME, Edwards JE: Spontaneous rupture of a false ventricular aneurysm following myocardial infarction. Am Heart J 77:677,1969.

    Article  PubMed  CAS  Google Scholar 

  17. Froehlich RT, Falsetti HL, Doty DB, Marcus ML: Prospective study of surgery for left ventricular aneurysm. Am J Cardiol 45:923,1980.

    Article  PubMed  CAS  Google Scholar 

  18. Gobel FL, Visudh-Arom K, Edwards JE: Pseudoaneurysm of the left ventricle leading to recurrent pericardial hemorrhage. Chest 59:23,1971.

    Article  PubMed  CAS  Google Scholar 

  19. Gueron M, Wanderman KL, Hirsch M, Borman J: Pseudoaneurysm of the left ventricle after myocardial infarction: a curable form of myocardial rupture. J Thorac Cardiovasc Surg 69:736,1975.

    PubMed  CAS  Google Scholar 

  20. Guiraudon G, Fontaine G, Frank R, Escande G, Etievent P, Cabrol C: Encircling endocardial ventriculotomy: a new surgical treatment for life-threatening ventricular tachycardias resistant to medical treatment following myocardial infarction. Ann Thorac Surg 26:438,1978.

    Article  PubMed  CAS  Google Scholar 

  21. Jatene AD: Left ventricular aneurysmectomy. J Thorac Cardiovasc Surg 89: 321,1985.

    PubMed  CAS  Google Scholar 

  22. Josephson ME, Harken AH, Horowitz LN: Endocardial excision: a new surgical technique for the treatment of recurrent ventricular tachycardia. Circulation 58: 1167,1978.

    Google Scholar 

  23. Kapelanski DP, Al-Sadir J, Lamberti JJ, Anagnostopoulos CE: Ventriculographic features predictive of surgical outcome for left ventricular aneurysm. Circulation 58:1167,1978.

    PubMed  CAS  Google Scholar 

  24. Kesler KA, Fiore AC, Naunheim KS, Sharp TG, Mahomed Y, Zollinger TW, Sawada SG, Brown JW, Labovitz AJ, Barner HB: Anterior wall left ventricular aneurysm repair: a comparison of linear versus circular closure. J Thorac Cardiovasc Surg 103:841,1992.

    PubMed  CAS  Google Scholar 

  25. Klein MD, Herman MV, Gorlin R: A hemodynamic study of left ventricular aneurysm. Circulation 35:614,1967.

    PubMed  CAS  Google Scholar 

  26. Kouchoukos NT, Doty DB, Buettner LE, Kirklin JW: Treatment of postinfarction cardiac failure by myocardial excision and revascularization. Circulation 45(Suppl I):I–72,1972.

    Google Scholar 

  27. Lee DC, Johnson RA, Boucher CA, Wexler LF, McEnany MT: Angiographic predictors of survival following left ventricular aneurysmectomy. Circulation 56(Suppl II):II–12,1977.

    Google Scholar 

  28. Loop FD, Effler DB, Navia JA, Sheldon WC, Groves LK: Aneurysms of the left ventricle: survival and results of a ten-year surgical experience. Ann Surg 178: 399,1973.

    Article  PubMed  CAS  Google Scholar 

  29. Loop FD, Effler DB, Webster JS, Groves LK: Posterior ventricular aneurysms: etiologic factors and results of surgical treatment. N Engl J Med 288:237,1973.

    Article  PubMed  CAS  Google Scholar 

  30. Malcolm ID, Fitchett DH, Stewart D, Marpole D, Symes J: Ventricular aneurysm: false or true? An important distinction. Ann Thorac Surg 29:474,1980.

    Article  PubMed  CAS  Google Scholar 

  31. Mills NL, Everson CT, Hockmuth DR: Technical advances in the treatment of left ventricular aneurysm. Ann Thorac Surg 55:792,1993.

    Article  PubMed  CAS  Google Scholar 

  32. Mirowski M, Reid PR, Mower MM, Watkins L, Gott V, Schauble JF, Langer A, Heilman MS, Kolenik SA, Fischell RE, Weisfeldt ML: Termination of malignant ventricular arrhythmias with an implanted automatic defibrillator in human beings. N Engl J Med 303:322,1980.

    Article  PubMed  CAS  Google Scholar 

  33. Moran JM, Scanlon PJ, Nemickus R, Pifarre R: Surgical treatment of postinfarction ventricular aneurysm. Ann Thorac Surg 21:107,1976.

    Article  PubMed  CAS  Google Scholar 

  34. Mullen DC, Posey L, Gabriel R, Singh HM, Flemma RJ, Lepley D: Prognostic considerations in the management of left ventricular aneurysms. Ann Thorac Surg 23:455,1977.

    Article  PubMed  CAS  Google Scholar 

  35. Okies JE, Dietl C, Garrison HB, Starr A: Early and late results of resection of ventricular aneurysm. J Thorac Cardiovasc Surg 75:255,1978.

    PubMed  CAS  Google Scholar 

  36. Reul GJ: Discussion of Walker et al. J Thorac Cardiovasc Surg 76:830,1978.

    Google Scholar 

  37. Rigo P, Murray M, Strauss HW, Pitt B: Scintiphotographic evaluation of patients with suspected left ventricular aneurysm. Circulation 50:985,1974.

    PubMed  CAS  Google Scholar 

  38. Roelandt J, Van den Brand M, Vletter WB: Echocardiographic diagnosis of pseu-doaneurysm of the left ventricle. Circulation 52:466,1975.

    PubMed  CAS  Google Scholar 

  39. Rogers WJ, Oberman A, Kouchoukos NT: Left ventricular aneurysmectomy in patients with single vs multivessel coronary artery disease. Circulation 58(Suppl I):I–50,1978.

    Google Scholar 

  40. Sami M, Charpin D, Chabot M, Bourassa MG: Long-term follow-up of aneurysmectomy for recurrent ventricular tachycardia or fibrillation (abstr). Am J Cardiol 39:269,1977.

    Google Scholar 

  41. Schlicter J, Hellerstein HK, Katz LN: Aneurysm of the heart. Correlative study of 102 proved cases. Medicine 33:43,1954.

    Article  Google Scholar 

  42. Schmidt CA, Bailey LL, Wareham EE: Septal wall motion: its significance in outcome of left ventricular scar resection. Arch Surg 115:624,1980.

    PubMed  CAS  Google Scholar 

  43. Shaw RC, Connors JP, Hieb BR, Ludbrook PA, Krone R, Kleigher RE, Ferguson TB, Weldon CS: Postoperative investigation of left ventricular aneurysm resection. Circulation 56(Suppl II):II–7,1977.

    Google Scholar 

  44. Simpson MT, Oberman A, Kouchoukos NT, Rogers WJ: Prevalence of mural thrombi and systemic embolization with left ventricular aneurysm: effect of anticoagulation therapy. Chest 77:4,1980.

    Article  Google Scholar 

  45. Spencer FC, Green GE, Tice DA, Walsh E, Mills NL, Glassman E: Coronary artery bypass grafts for congestive heart failure: a report of experience with 40 patients. J Thorac Cardiovasc Surg 62:529,1971.

    PubMed  CAS  Google Scholar 

  46. Stephens JD, Dymond DS, Stone DL, Rees GM, Spurrell RAJ: Left ventricular aneurysm and congestive heart failure: value of exercise stress and isosorbide dinitrate in predicting hemodynamic results of aneurysmectomy. Am J Cardiol 45: 932,1980.

    Article  PubMed  CAS  Google Scholar 

  47. Stoney WS, Alford WC, Burrus GR, Thomas CS: Repair of anteroseptal ventricular aneurysm. Ann Thorac Surg 15:394,1973.

    Article  PubMed  CAS  Google Scholar 

  48. Strauss HW, Zaret BL, Hurley PJ, Natarajan TK, Pitt B: A scintiphotographic method for measuring left ventricular ejection fraction in man without cardiac catheterization. Am J Cardiol 28:575,1971.

    Article  PubMed  CAS  Google Scholar 

  49. Walker WE, Stoney WS, Alford WC Jr, Burrus GR, Frist RA, Glassford DM, Thomas CS Jr: Techniques and results of ventricular aneurysmectomy with emphasis on anteroseptal repair. J Thorac Cardiovasc Surg 76:824,1978.

    PubMed  CAS  Google Scholar 

  50. Walker WE, Stoney WS, Alford WC Jr, Burrus GR, Glassford DM, Thomas CS Jr: Results of surgical management of acute left ventricular aneurysms. Circulation 62(Suppl I):I–75,1980.

    Google Scholar 

  51. Watson LE, Dickhaus DW, Martin RH: Left ventricular aneurysm: preoperative hemodynamics, chamber volume, and results of aneurysmectomy. Circulation 52: 868,1975.

    PubMed  CAS  Google Scholar 

  52. Zaret BL, Strauss HW, Hurley PJ, Natarajan TK, Pitt B: A noninvasive scintiphotographic method for detecting regional ventricular dysfunction in man. N Engl J Med 284:1165,1971.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Section of Thoracic and Cardiovascular Surgery, Sutter Memorial Hospital, 5301 F Street, Suite 312, 95819, Sacramento, California, USA

    Bradley J. Harlan MD (Chief, Assistant Clinical Professor of Surgery, Formerly: Associate Professor of Surgery)

  2. Davis Medical School, University of California, 5301 F Street, Suite 312, 95819, Sacramento, California, USA

    Bradley J. Harlan MD (Chief, Assistant Clinical Professor of Surgery, Formerly: Associate Professor of Surgery)

  3. Oregon Health Sciences University, Portland, Oregon, USA

    Bradley J. Harlan MD (Chief, Assistant Clinical Professor of Surgery, Formerly: Associate Professor of Surgery) & Albert Starr MD (Professor of Surgery, Director)

  4. Heart Institute at St. Vincent Hospital, Portland, Oregon, USA

    Albert Starr MD (Professor of Surgery, Director)

  5. Starr-Wood Cardiac Group, P.C., 9155 SW Barnes Rd., Suite 240, 97225-6629, Portland, Oregon, USA

    Albert Starr MD (Professor of Surgery, Director)

  6. Harwin Studios, 9101 SW 15th Avenue, 97219, Portland, OR, USA

    Fredic M. Harwin BFA, MS

  7. Hôpital Broussais, University of Paris, Paris, France

    Alain Carpentier MD (Professor of Cardiac Surgery)

Authors
  1. Bradley J. Harlan MD
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  2. Albert Starr MD
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  3. Fredic M. Harwin BFA, MS
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  4. Alain Carpentier MD
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© 1995 Springer-Verlag New York, Inc.

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Harlan, B.J., Starr, A., Harwin, F.M., Carpentier, A. (1995). Left Ventricular Aneurysm. In: Manual of Cardiac Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2474-7_10

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  • DOI: https://doi.org/10.1007/978-1-4612-2474-7_10

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7553-4

  • Online ISBN: 978-1-4612-2474-7

  • eBook Packages: Springer Book Archive

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