Left Ventricular Reconstruction after Dor—Sailing Close to the Wind?

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)

Authors' Contribution

Conception and design: C.G., N.M., T.W., K.E. Data collection: C.G., N.M., T.W., K.E. Analysis and data interpretation: C.G., I.K., I.D., K.E. Statistical analysis: I.K., I.D., N.M. Drafting the manuscript: C.G., I.K., K.E., T.W. Critical revision of the article: C.G., I.K., I.D., N.M., T.W., K.E.

Publikationsverlauf

Eingereicht: 09. Februar 2024

Angenommen: 22. April 2024

Artikel online veröffentlicht:
15. Mai 2024

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