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52例慢性心肌梗死后左心室室壁瘤手术治疗的手术及长期结果(作者译)

[Operative and long term results in 52 patients operated on for chronic postinfarction left ventricular aneurysm (author's transl)].

作者信息

Santoli C, Fundarò P, Belloni P A, Cozzi G, Pellegrini A

出版信息

G Ital Cardiol. 1976;6(3):391-8.

PMID:1087614
Abstract

Operative and late post-operative results in 52 patients undergoing operation for chronic postinfarction left ventricular aneurysm are described. Aneurysm resection was performed in 33 patients. This procedure was combined with myocardial revascularization by means of insertion of a venous aorto-coronary by-pass graft in 14 cases. Hospital mortality for the total group was 3,8% (2 deaths). Surviving patients were followed-up 3 to 66 months. Two late deaths occurred. Clinical and functinal improvement occurred in the majority of surviving patients. The impact of simultaneous aorto-coronary by-pass grafting on operative results is discussed.

摘要

本文描述了52例因慢性心肌梗死后左心室室壁瘤而接受手术治疗患者的手术及术后远期结果。33例患者接受了室壁瘤切除术。其中14例在此手术基础上,通过植入静脉动脉冠状动脉搭桥移植物进行了心肌血运重建。全组患者的住院死亡率为3.8%(2例死亡)。存活患者接受了3至66个月的随访。出现了2例晚期死亡。大多数存活患者的临床症状和功能得到改善。文中还讨论了同期动脉冠状动脉搭桥术对手术结果的影响。

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