Abstract
Background: There is currently consensus that endoventriculoplasty is the treatment of choice
for an anterior left ventricular aneurysm. We describe here a new technique of endoventriculoplasty
using autologous endocardium for left ventricular anterior aneurysm. Method: From 1990 until 2003, 49 patients underwent endoventriculoplasty using autologous
pericardium at the Thoraxcenter of the University Hospital of Groningen in the Netherlands
(28 patients) and at the Department of Cardio Thoracic Surgery of the University Hospital
of Pisa in Italy (21 patients). Mean logistic EuroSCORE and mean ejection fraction
were 15.7 ± 6.7 and 31 ± 9 %, respectively. Results: Overall 30-day mortality was 4.1 %. Causes of in-hospital mortality were low output
syndrome (1 patient) and ventricular fibrillation (1 patient). Postoperative complications
were myocardial infarct (4.1 %), low output syndrome (6.1 %), renal failure (4.1 %),
neurological events (2.0 %), atrial fibrillation (14.3 %), ventricular fibrillation
or tachycardia (6.1 %), ARDS (4.1 %), re-operation for bleeding (4.1 %), and major
wound infection (2.0 %). Conclusion: Our analysis shows that endoventriculoplasty with autologous endocardium is a safe
procedure and improves the outcome in high-risk patients with ventricular aneurysm.
Key words
Ventriculoplasty - ventricular aneurysm - myocardial infarction complications
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MD, PhD Jan G. Grandjean
Department of Cardiothoracic Surgery, Ospedale Cisanello
Via Paradisa, 2
56124 Pisa
Italy
Phone: + 39050995261
Fax: + 39 0 50 99 52 71
Email: Grandjean2003@tiscali.it
