Left Ventricular Aneurysm Repair with Endoaneurysmorrhaphy Technique: An Assessment of Two Different Ventriculotomy Closure Methods

Authors

  • Eldaniz Aliyev Ege University Faculty of Medicine, Department of Cardiovascular Surgery, Izmir
  • Ahmet Dolapoglu Texas Heart Institute, Department of Cardiovascular Surgery, Houston, Texas
  • Ilimbek Beketaev Texas Heart Institute, Center for Stem Cell Engineering, Houston, Texas
  • Cagatay Engin Ege University Faculty of Medicine, Department of Cardiovascular Surgery, Izmir
  • Tahir Yagdi Ege University Faculty of Medicine, Department of Cardiovascular Surgery, Izmir
  • Anil Ziya Apaydin Ege University Faculty of Medicine, Department of Cardiovascular Surgery, Izmir
  • Mustafa Ozbaran Ege University Faculty of Medicine, Department of Cardiovascular Surgery, Izmir
  • Munevver Yuksel Ege University Faculty of Medicine, Department of Cardiovascular Surgery, Izmir

DOI:

https://doi.org/10.1532/hsf.1358

Abstract

Background: Left ventricular aneurysm is a serious mechanical complication of myocardial infarction and has an incidence of 10-35% after myocardial infarction. Ventricular aneurysm in patients with angina, heart failure, and ventricular arrhythmia should be surgically treated. Endoaneurysmorrhaphy is one of the repair techniques that results in better left ventricular geometry and function. After this surgical procedure the ventriculotomy is repaired either with Teflon felt strips or by direct suture of the epicardium.
Methods: In this study, we described the postoperative early outcomes of two ventriculotomy closing techniques such as Teflon felt versus direct closure after aneurysm repair. This retrospective study included a total of 73 patients (mean age > 70 years) with left ventricular aneurysm, who underwent endoaneurysmorrhaphy repair between 1997 and 2009. All selected patients were divided into two groups according to the ventriculotomy closure technique either by Teflon felt or direct by epicardial closure. The pre-, intra-, and postoperative results of these patients were analyzed accordingly.
Results: The postoperative early mortality rate and postoperative bleeding were not significantly different between the Teflon felt and primary closure groups (P = .246 and
P = .371 respectively), but postoperative arrhythmias were significantly higher in the Teflon felt repair group (P = .049).
Conclusion: Endoaneurysmorrhaphy is a better surgical technique in left ventricle aneurysm to restore the internal contour and preserve the surface anatomy of the ventricle. The ventriculotomy closure can be performed with two different approaches, including Teflon felt strips or by direct suture of the epicardium. Based on this study’s findings, two repair techniques have similar impact on the early outcomes. However, with overall outcomes with respect to Teflon felt repair, direct closure of the ventriculotomy after endoaneurysmorrhaphy was superior.

References

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Published

2016-04-04

How to Cite

Aliyev, E., Dolapoglu, A., Beketaev, I., Engin, C., Yagdi, T., Apaydin, A. Z., Ozbaran, M., & Yuksel, M. (2016). Left Ventricular Aneurysm Repair with Endoaneurysmorrhaphy Technique: An Assessment of Two Different Ventriculotomy Closure Methods. The Heart Surgery Forum, 19(2), E054-E058. https://doi.org/10.1532/hsf.1358

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Articles