LEFT-VENTRICULAR ANEURYSMS - SURGICAL-TREATMENT

Left ventricular aneurysm as a complication of myocardial infarction i s observed in 10% of patients. In recent years, all surgical teams hav e observed a significant decrease of this complication. There is no do ubt that this is due to the current medical treatment in the acute pha se of myocardial infarction. Surgical treatment is considered only whe n the ventricular aneurysm presents complications such as congestive h eart failure, thromboembolism, malignant ventricular arrhythmias or an gina. In this review, we comment on the principle surgical procedures reported up to now. The indication of surgery is based on good functio nal results and long-term survival.