Left ventricular aneurysm surgery

Revision as of 16:30, 9 November 2016 by Mehdi Pahlavani (talk | contribs)
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Left ventricular aneurysm Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Left ventricular aneurysm from other Diseases

Epidemiology and Demographics

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Screening

Natural History, Complications and Prognosis

Diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Surgery

  • Surgical aneurysmectomy is recommended for large symptomatic aneurysms that caused angina pectoris or heart failure. Appropriate CABG is indicated at the time of aneurysmectomy.
  • Another indication for surgical intervention is in patients who can not tolerate long term anticoagulation therapy.

2004 ACC/AHA guidelines on ST elevation MI

Class IIa
"1. in patients with an LV aneurysm who have intractable ventricular arrhythmias and/or heart failure unresponsive to medical and catheter-based therapy consider aneurysmectomy, accompanied by CABG(Level of Evidence: C)"

References


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