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Experience With 37 Patients Undergoing Aneurysmectomy

DENTON A. COOLEY, MD; GRADY L. HALLMAN, MD; WALTER S. HENLY, MD

AMA Arch Surg. 1964;88(1):114-121.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Some patients surviving an initial episode of coronary occlusion develop complications from myocardial necrosis which prolong their convalescence and decrease the likelihood of long-term survival. One of the more common and serious of these complications is ventricular aneurysm, occurring in from 10% to 38% of such patients.^1,3,13,16 An aneurysm may appear as early as two days or as late as ten years after the infarction,¹⁰ and its development is favored by the presence of arterial hypertension, associated valvular disease, and inadequate bed rest after the initial heart attack.¹³ Paradoxical motion of the noncontractile aneurysm impairs left ventricular function and may result in cardiac failure which is frequently difficult, if not impossible, to control by medical measures alone. Mural thrombosis is common, and peripheral embolization may occur if a portion of this thrombus is dislodged.

In a collected series of 102 cases of ventricular aneurysm, Schlichter, Hellerstein, and . . . [Full Text PDF of this Article]

Author Affiliations
HOUSTON

From the Cora and Webb Mading Department of Surgery, Baylor University College of Medicine, and the St. Luke's, Methodist, and Veteran's Administration Hospitals.

Footnotes
Read before the 11th Annual Meeting of the International Cardiovascular Society, North American Chapter, Atlantic City, NJ, June 15, 1963.

Supported in part by the American Heart Association, Texas Heart Association, and the Houston Heart Association.

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