Rabkin I Kh, Tkachenko V M, Abugov A M, Aslibekian I S, Shabalkin B V
Kardiologiia. 1986 Sep;26(9):33-7.
Late results of surgery for chronic postinfarction aneurysm of the heart were reviewed in 48 patients. Comprehensive clinical and instrumental investigation demonstrated that aneurysm resection alone or in combination with aorto-coronary shunting or ventricular septoplasty resulted in clinical improvement in 60.4% of patients. However, surgery had basically no positive effect on left-ventricular myocardial contractility and pulmonary hemodynamics. The lack of positive changes in myocardial contractility is due to marked asynergy (akinesia) developing around the post-operative scar. The late postoperative outcome depends on both the type (akinetic or dyskinetic) of heart aneurysm, and timely referral for surgical treatment.
对48例慢性心肌梗死后心脏动脉瘤手术的远期结果进行了回顾。全面的临床和器械检查表明，单纯动脉瘤切除术或联合主动脉冠状动脉分流术或室间隔成形术使60.4%的患者临床症状得到改善。然而，手术对左心室心肌收缩力和肺血流动力学基本没有积极影响。心肌收缩力缺乏积极变化是由于术后瘢痕周围出现明显的协同失调（运动不能）。术后远期结果取决于心脏动脉瘤的类型（运动不能型或运动障碍型）以及手术治疗的及时转诊。
