Abstract
Postinfarction left ventricular aneurysm (LVA) still remains a complication after
myocardial infarction with a poor prognosis. Its incidence has decreased due to improved
treatment, however, it may have experienced a renaissance due to the coronavirus disease 2019 pandemic. In this retrospective, single-center
cohort study, we analyzed n = 17 patients who underwent left ventricular reconstruction after Dor. The results
show a mean intensive care unit stay of 8 ± 16 days and a 30-day mortality rate of
6%. Mean postoperative ejection fraction was 44 ± 8% indicating an increase in all
but three cases. This suggests that patients with an LVA can be successfully treated,
and it is safe when performed by experienced surgeons. Therefore, they should still
be considered for surgery early on.
Keywords
heart failure - myocardial remodeling - aneurysm - myocardial infarction (includes
complications; e.g. rupture)
