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Successful Surgical Treatment

Carler A. Printup, MD; Joe Flynn, MD; Bert H. Cotton, MD; John R. F. Penido, MD; William R. Dietrick, MD

Arch Surg. 1975;110(10):1184-1185.

Abstract
Over a two-year period, 18 patients with postinfarction ventricular aneurysms were treated surgically. There were no operative or early deaths, and only one (5.5%) late (20 months) death.

The indications for surgery included angina, congestive heart failure, and serious arrhythmias. Electrocardiograms and plain chest roentgenograms were unreliable in making the diagnosis. All patients had cardiac catheterization and, at operation, a definite localized aneurysm was demonstrable. In 15 patients (83%), coronary artery bypass grafts were performed at the time the aneurysm was excised.

Good results should be expected from surgical treatment of symptomatic ventricular aneurysms. Simultaneous bypass grafting should be performed when indicated.

Author Affiliations
From the Huntington Memorial Hospital, Pasadena, Calif. Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Santa Barbara, Calif, Jan 18, 1975.

Footnotes
Accepted for publication Feb 11, 1975.

Reprint requests to Huntington Memorial Hospital, 100 Congress St, Pasadena, CA 91105 (Dr. Printup).

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