Frank G, Klein H, Lichtlen P, Borst H G
MMW Munch Med Wochenschr. 1978 Apr 21;120(16):565-8.
This resport concerns 105 left ventricular aneurysmectomies, 44 of which were combined with additional operations. Mortality in hospital was 7.6%, the survival rate after 4 years 84%. Postoperative examinations were carried out in 74 patients after an average interval of 21 months. There was a subjective improvement in 2/3 of the cases, only 1/3 returned to work. Angina pectoris was improved in 2/3, principally in the group with additional revascularization. The functional tolerance test showed that only 57% improved their physiological capacity for work. The effect of aneurysmectomy on preoperative cardiac arrhythmias was unreliable and on the whole disappointing.
本报告涉及105例左心室动脉瘤切除术,其中44例合并了其他手术。住院死亡率为7.6%,4年后生存率为84%。74例患者在平均间隔21个月后进行了术后检查。三分之二的病例有主观改善,只有三分之一恢复工作。三分之二的心绞痛患者病情有所改善,主要是在进行了额外血运重建的组中。功能耐量试验表明,只有57%的患者提高了生理工作能力。动脉瘤切除术对术前心律失常的效果不可靠,总体上令人失望。