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Background: The most appropriate surgical approach for post-myocardial infarctionleft ventricular aneurysm LVA is controversial. This study aims to displaythe results of surgical treatment of LVA in a major Iraqi cardiac surgical center. Methods: Thesurgical management of LVAs over the period 2001 to 2011 was retrospectively reviewed. The presenting signs and symptoms, results ofinvestigations, operative findings, and outcomes of patients were determined. Results: Twenty-seven true LVAs associated with 4ventricular septal defects VSDs were treated surgically. During thesame period, 1136 coronary artery bypass graft CABG operations were done, thus LVA represented 2.4%. Males constituted the majority 74.1%. Themean age was 54.6 years old. The typical ECG changes were seen in42.1%. Apical and antero-apical locations predominated. The majority of patients84.2% had subnormal values of ejection fraction EF. Most patients hadmulti-vessel coronary artery disease CAD. The most frequentwas the left anterior descending artery LAD. All patients had CABG except 3.Linear repair and Dor technique were used equally. The commonest postoperativecomplication was bleeding 38.4%. The overall hospital mortality was 18.5%. Conclusion: Concomitant CABG improvesearly postoperative course and must be added when significant lesions in coronary arteries particularly the LAD arepresent.

KEYWORDS

Left Ventricular Aneurysm; Post-Ischemic VSD; Linear Repair and Dor Technique

Cite this paper

A. Taha and B. Mahmoud -Management of Left Ventricular Aneurysm: A Study from Iraq,- International Journal of Clinical Medicine, Vol. 5 No. 4, 2014, pp. 127-132. doi: 10.4236-ijcm.2014.54021.





Author: Abdulsalam Y. Taha, Bassam A. Mahmoud

Source: http://www.scirp.org/



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