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]

Overview

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.

Class IIa
"1. It is reasonable that patients with STEMI who develop a ventricular aneurysm associated with intractable ventricular tachyarrhythmias and/or pump failure unresponsive to medical and catheter-based therapy be considered for LV aneurysmectomy and CABG surgery.(Level of Evidence: B)"