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

R. K. Brawley, Hartzell V Schaff, R. Stevens, H. Ducci, V. L. Gott, J. S. Donahoo

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)120-128
Number of pages9
JournalJournal of Thoracic and Cardiovascular Surgery
Volume73
Issue number1
StatePublished - 1977
Externally publishedYes

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Aneurysm
Anatomy
Coronary Vessels
Survival
Heart Failure
Mortality
Coronary Artery Disease
Hospital Mortality
Survivors
Cardiac Arrhythmias
Arteries
Hemodynamics
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Influence of coronary artery anatomy on survival following resection of left ventricular aneurysms and chronic infarcts. / Brawley, R. K.; Schaff, Hartzell V; Stevens, R.; Ducci, H.; Gott, V. L.; Donahoo, J. S.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 73, No. 1, 1977, p. 120-128.

Research output: Contribution to journalArticle

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