Endoaneurysmorrhaphy and cryoablation for postinfarction left ventricular aneurysm with ventricular tachycardia

Wei Yuan Chen, Shiau Ting Lai, Chun Che Shih

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Early reperfusion in the acute phase of myocardial infarction and better medical treatment of consequent heart failure and tachyarrythmia have decreased the incidence of massive myocardial infarction, left ventricular (LV) aneurysm and also postinfarction-sustained ventricular tachycardia (VT). However, for a number of patients, surgical ablation combined with aneurysm resection and myocardial revascularization remains a possible curative procedure. In this study, the efficacy of endoaneurysmorrhaphy and cryoablation was evaluated in patients with postinfarction LV aneurysm with VT. Methods: The medical records of 9 patients who underwent LV endoaneurysmorrhaphy and cryoablation for VT at Taipei Veterans General Hospital between January 1995 and August 2005 were reviewed retrospectively. Results: There were 8 men and 1 woman, with a mean age of 69.7 years (range, 52-77 years). Preoperative VT and LV aneurysm were found in all patients, who underwent extensive cryoablation at the transitional zone of scar and viable tissue without intraoperative mapping and LV remodeling with prosthetic patch. Associated procedure included coronary artery bypass grafting in 8 patients. During follow-up, no surgical or inhospital mortality were noted. There was 1 late sudden death at home 1.7 months after the operation. No recurrent VT was detected, and all patients showed improvement in New York Heart Association functional class (mean, 2.33 vs. 1.67; p=0.025) and LV ejection fraction (mean, 26.3% vs. 34.1%; p=0.021). Conclusion: In patients suffering from postinfarction LV aneurysm complicated with VT, combining cryoablation and endoaneurysmorrhaphy offers good arrhythmia control and clinical outcome.

Original languageEnglish
Pages (from-to)117-120
Number of pages4
JournalJournal of the Chinese Medical Association
Volume70
Issue number3
DOIs
Publication statusPublished - Jan 1 2007
Externally publishedYes

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Cryosurgery
Ventricular Tachycardia
Aneurysm
Myocardial Infarction
Veterans Hospitals
Myocardial Revascularization
Ventricular Remodeling
Sudden Death
Hospital Mortality
Coronary Artery Bypass
General Hospitals
Stroke Volume
Reperfusion
Cicatrix
Medical Records
Cardiac Arrhythmias
Heart Failure
Incidence

Keywords

  • Cryoablation
  • Endoaneurysmorrhaphy
  • Ventricular tachycardia

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Endoaneurysmorrhaphy and cryoablation for postinfarction left ventricular aneurysm with ventricular tachycardia",
abstract = "Background: Early reperfusion in the acute phase of myocardial infarction and better medical treatment of consequent heart failure and tachyarrythmia have decreased the incidence of massive myocardial infarction, left ventricular (LV) aneurysm and also postinfarction-sustained ventricular tachycardia (VT). However, for a number of patients, surgical ablation combined with aneurysm resection and myocardial revascularization remains a possible curative procedure. In this study, the efficacy of endoaneurysmorrhaphy and cryoablation was evaluated in patients with postinfarction LV aneurysm with VT. Methods: The medical records of 9 patients who underwent LV endoaneurysmorrhaphy and cryoablation for VT at Taipei Veterans General Hospital between January 1995 and August 2005 were reviewed retrospectively. Results: There were 8 men and 1 woman, with a mean age of 69.7 years (range, 52-77 years). Preoperative VT and LV aneurysm were found in all patients, who underwent extensive cryoablation at the transitional zone of scar and viable tissue without intraoperative mapping and LV remodeling with prosthetic patch. Associated procedure included coronary artery bypass grafting in 8 patients. During follow-up, no surgical or inhospital mortality were noted. There was 1 late sudden death at home 1.7 months after the operation. No recurrent VT was detected, and all patients showed improvement in New York Heart Association functional class (mean, 2.33 vs. 1.67; p=0.025) and LV ejection fraction (mean, 26.3{\%} vs. 34.1{\%}; p=0.021). Conclusion: In patients suffering from postinfarction LV aneurysm complicated with VT, combining cryoablation and endoaneurysmorrhaphy offers good arrhythmia control and clinical outcome.",
keywords = "Cryoablation, Endoaneurysmorrhaphy, Ventricular tachycardia",
author = "Chen, {Wei Yuan} and Lai, {Shiau Ting} and Shih, {Chun Che}",
year = "2007",
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TY - JOUR

T1 - Endoaneurysmorrhaphy and cryoablation for postinfarction left ventricular aneurysm with ventricular tachycardia

AU - Chen, Wei Yuan

AU - Lai, Shiau Ting

AU - Shih, Chun Che

PY - 2007/1/1

Y1 - 2007/1/1

N2 - Background: Early reperfusion in the acute phase of myocardial infarction and better medical treatment of consequent heart failure and tachyarrythmia have decreased the incidence of massive myocardial infarction, left ventricular (LV) aneurysm and also postinfarction-sustained ventricular tachycardia (VT). However, for a number of patients, surgical ablation combined with aneurysm resection and myocardial revascularization remains a possible curative procedure. In this study, the efficacy of endoaneurysmorrhaphy and cryoablation was evaluated in patients with postinfarction LV aneurysm with VT. Methods: The medical records of 9 patients who underwent LV endoaneurysmorrhaphy and cryoablation for VT at Taipei Veterans General Hospital between January 1995 and August 2005 were reviewed retrospectively. Results: There were 8 men and 1 woman, with a mean age of 69.7 years (range, 52-77 years). Preoperative VT and LV aneurysm were found in all patients, who underwent extensive cryoablation at the transitional zone of scar and viable tissue without intraoperative mapping and LV remodeling with prosthetic patch. Associated procedure included coronary artery bypass grafting in 8 patients. During follow-up, no surgical or inhospital mortality were noted. There was 1 late sudden death at home 1.7 months after the operation. No recurrent VT was detected, and all patients showed improvement in New York Heart Association functional class (mean, 2.33 vs. 1.67; p=0.025) and LV ejection fraction (mean, 26.3% vs. 34.1%; p=0.021). Conclusion: In patients suffering from postinfarction LV aneurysm complicated with VT, combining cryoablation and endoaneurysmorrhaphy offers good arrhythmia control and clinical outcome.

AB - Background: Early reperfusion in the acute phase of myocardial infarction and better medical treatment of consequent heart failure and tachyarrythmia have decreased the incidence of massive myocardial infarction, left ventricular (LV) aneurysm and also postinfarction-sustained ventricular tachycardia (VT). However, for a number of patients, surgical ablation combined with aneurysm resection and myocardial revascularization remains a possible curative procedure. In this study, the efficacy of endoaneurysmorrhaphy and cryoablation was evaluated in patients with postinfarction LV aneurysm with VT. Methods: The medical records of 9 patients who underwent LV endoaneurysmorrhaphy and cryoablation for VT at Taipei Veterans General Hospital between January 1995 and August 2005 were reviewed retrospectively. Results: There were 8 men and 1 woman, with a mean age of 69.7 years (range, 52-77 years). Preoperative VT and LV aneurysm were found in all patients, who underwent extensive cryoablation at the transitional zone of scar and viable tissue without intraoperative mapping and LV remodeling with prosthetic patch. Associated procedure included coronary artery bypass grafting in 8 patients. During follow-up, no surgical or inhospital mortality were noted. There was 1 late sudden death at home 1.7 months after the operation. No recurrent VT was detected, and all patients showed improvement in New York Heart Association functional class (mean, 2.33 vs. 1.67; p=0.025) and LV ejection fraction (mean, 26.3% vs. 34.1%; p=0.021). Conclusion: In patients suffering from postinfarction LV aneurysm complicated with VT, combining cryoablation and endoaneurysmorrhaphy offers good arrhythmia control and clinical outcome.

KW - Cryoablation

KW - Endoaneurysmorrhaphy

KW - Ventricular tachycardia

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