Left ventricular aneurysm surgery

Left ventricular aneurysm Microchapters
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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]

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.

The 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)"