VENTRICULAR ANEURYSMECTOMY A 25-YEAR EXPERIENCE

Objective This study determined predictors of operative survival and i mproved long-term outcomes in patients undergoing ventricular aneurysm ectomy. Summary Background Data Since the first successful repair of v entricular aneurysm in 1958, refined technique and improvement in peri operative care have been introduced to lower morbidity and mortality. Methods The authors reviewed their institutional experience from 1968 through 1993 in treating 523 patients who underwent ventricular aneury smectomy. Results Overall operative mortality was 8% and overall media n survival was 128 months. Contractility grade, age, and yea, of opera tion were predictors of operative mortality and of improved long term survival. Type oi aneurysm repair was not a strong predictor of operat ive mortality or improved long-term survival. Conclusions Ventricular aneurysmectomy can be performed safely using one of a number of establ ished techniques, although operative mortality and long-term survival may not depend on the techniques used.