Molina RM, Lomeli O, Herrera-Alarcón V, Hernández I, De León-Sánchez R, Torrico LA

Language: Spanish
References: 10
Page: 92-95
PDF size: 161.09 Kb.

ABSTRACT

Objective. Any pathology that affects the ventricular morphology will have a deleterious response in the ventricular function. Left ventricular aneurysm is related to ventricular remodeling. The objective of this study is to characterize the patient attended in this institute the last fifteen years and to make a comparison of its evolution in the medical or surgical management.
Material and Methods. From 2000 to 2016 we obtain data from patients with left ventricular aneurysm. 39 files of patients evaluated by this pathology were documented of which 10 were submitted to ventricular reconstruction surgery.
Results. The age range of our population was 61 (+/- 13) years, the most prevalent risk factors for myocardial ischemia were smoking (59%), diabetes (28.2%), hypertension (41%), Dyslipidemia (35.9%). Most had a history of extensive myocardial infarction (84.6%), the location of the aneurysm in most of our patients was apical. A small percentage 0.78% (2 patients) were discussed to decide on behavior and for greater severity, it was decided not to undergo surgery. Mortality in patients undergoing surgical intervention was 2 patients in the hospitalization of their surgery.
Conclusions. Ventricular reconstruction is an effective technique for the management of post-infarction ventricular aneurysms, its short-term mortality was 1-3%, similar in our institute to that described in the reference series, as well as characterization of patients.

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