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Ninety-four patients who underwent left ventricular aneurysmectomy between 1971 and 1980 are reviewed. In thirty-four cases this operation was combined with myocardial revascularisation. The overall hospital mortality was 6% with a five-year survival of 72% +/- 6%. Symptomatology dominated by dyspnoea, a raised left ventricular end diastolic pressure (L.V.E.D.P.) and ventricular dysrhythmias adversely affected survival. Combined myocardial revascularisation did not affect the hospital mortality but was associated with a trend toward improved long-term survival in two groups of patients viz those presenting with predominant angina and those with major stenoses of two or more coronary arteries. Fifteen patients agreed prospectively to post-operative cardiac catheterisation. Despite symptomatic relief no improvement in L.V.E.D.P. or ejection fraction was demonstrated in this group.


Journal article


The Journal of cardiovascular surgery

Publication Date





461 - 466


Humans, Dyspnea, Heart Aneurysm, Angina Pectoris, Postoperative Complications, Stroke Volume, Electrocardiography, Prognosis, Myocardial Revascularization, Follow-Up Studies, Middle Aged, Female, Male, Cardiac Catheterization