Mittelfristige klinische Ergebnisse nach Endoaneurysmorrhaphie bei linksventrikulären Aneurysmen View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2000-09

AUTHORS

C. Bartels, J. F. M. Bechtel, R. Tölg, B. Graf, C. Walenda, R. Leyh, A. Nötzold, G. Richardt, H. -H. Sievers

ABSTRACT

Endoaneurysmorrhaphy (EAR) in postinfarct ventricular aneurysms leads to excellent short-term results. However, the temporal response of EAR is widely unknown. Thus, the indication for surgical treatment of patients with ventricular aneurysms is not well defined. EAR was performed in 157 patients (6/1993-6/1999) with symptomatic ventricular aneurysms (median NYHA III). Factors influencing cardiac mortality and morbidity during follow-up were determined by univariate and multivariate analysis. Perioperative mortality was low: 5%. Mortality during follow-up was 3.3% per year, resulting in a 5-year survival rate of 78%. NYHA classification ameliorated significantly from the preoperative status compared to the follow-up period (median NYHA II; p < 0.001). Multivariate analysis identified preexisting arterial occlusive disease and advanced age (> 70 years) as significant factors influencing medium-term mortality. Implantation of the left internal mammary artery was associated with a better survival rate. Endoaneurysmorrhaphy can be performed with low perioperative mortality, will result in a significant amelioration of the cardiac clinical status and offers low medium-term mortality. Our data indicate that EAR seems to be the procedure of choice for patients with symptomatic ventricular aneurysms. More... »

PAGES

754-760

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s003920070178

DOI

http://dx.doi.org/10.1007/s003920070178

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1031940005

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11077684


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