Left ventricular aneurysm surgery: Difference between revisions

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==Overview==


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==Surgery==
*Surgical aneurysmectomy is recommended for large symptomatic aneurysms that caused angina pectoris or heart failure. Appropriate CABG is indicated at the time of aneurysmectomy.
*Another indication for surgical intervention is in patients who can not tolerate long term anticoagulation therapy.
 
The 2004 ACC/AHA guidelines on ST elevation MI
 
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]
|-
| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1.''' in patients with an LV aneurysm who have intractable ventricular arrhythmias and/or heart failure unresponsive to medical and catheter-based therapy consider aneurysmectomy, accompanied by CABG''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki>
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==References==
==References==

Revision as of 16:29, 9 November 2016

Left ventricular aneurysm Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Surgery

  • Surgical aneurysmectomy is recommended for large symptomatic aneurysms that caused angina pectoris or heart failure. Appropriate CABG is indicated at the time of aneurysmectomy.
  • Another indication for surgical intervention is in patients who can not tolerate long term anticoagulation therapy.

The 2004 ACC/AHA guidelines on ST elevation MI

Class IIa
"1. in patients with an LV aneurysm who have intractable ventricular arrhythmias and/or heart failure unresponsive to medical and catheter-based therapy consider aneurysmectomy, accompanied by CABG(Level of Evidence: C)"

References


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