Resection of left ventricular aneurysm during hypothermic XXXX without @entity432 .

@entity1 @entity712 @entity146 @entity439 @entity1167 @entity432 @entity583 @entity67 @entity943 @entity204
From December, 1977, through September, 1984, 100 consecutive @entity1 had ventricular aneurysmectomy during hypothermic @entity1167 without @entity432 . In the series were 83 @entity1 and 17 @entity1 , mean age 57.2 years. Primary indications for operation were angina pectoris in 42 @entity1 , @entity712 in 23, angina plus congestive failure in 22, and @entity146 in 13. Emergency operation was required for 13 @entity1 with an intra-aortic balloon pump. Mean New York Heart Association Class was 3.1. Mean left ventricular end-diastolic pressure was 19.5 mm Hg, and mean left ventricular ejection fraction was 0.37. Concomitant coronary artery grafting was performed in 97 @entity1 (mean 3.2 grafts/ @entity1 ). Pressor agents were used in 21 @entity1 and an intra-aortic balloon pump in two @entity1 . Perioperative @entity583 was documented in one @entity1 (1%). There were two hospital deaths (2%), both in @entity1 with @entity146 . At late follow-up (mean 38.5 months), 13 additional @entity1 (13.3%) had died. Actuarial survival rate at 73 months was 77.0%. Survival rate was better for 93 @entity1 with anterior @entity439 if the left anterior descending and/or diagonal coronary arteries were grafted with aneurysmectomy (p less than 0.03). Although only @entity943 predicted @entity204 (p less than 0.03), ejection fraction (p less than 0.01) and @entity943 (p = 0.03) predicted @entity204 . @entity67 during hypothermic @entity1167 without @entity432 can be performed with low hospital mortality and good long-term results. When possible, left anterior descending and/or diagonal coronary arteries should be grafted when anterior @entity439 are resected.
