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Clinical follow-up of 24 patients who developed left ventricular aneurysm early after myocardial infarction is presented. All patients developed left ventricular failure within two weeks of infarction. The indication for operation was resistant left ventricular failure in 21 patients and a combination of left ventricular failure and unstable angina in three. Complete occlusion or severe stenosis (greater than 70 per cent) of the left anterior descending coronary artery was the most common findings. There were 3 hospital (12.5 per cent) and 2 late (8.3 per cent) deaths. Impairment of septal mobility was associated with a poor prognosis. All patients who develop progressive left ventricular failure early following myocardial infarction should be clinically and haemodynamically evaluated for the presence of left ventricular aneurysm. Surgical resection of the aneurysm and correction of associated lesions should be aggressively pursued.
A P Tandon, and
M F Roesler, and
L I Lukacs, and
M I Ionescu
June 1983,
Journal of the Medical Association of Thailand = Chotmaihet thangphaet,
A P Tandon, and
M F Roesler, and
L I Lukacs, and
M I Ionescu
December 2010,
Zhonghua yi xue za zhi,
A P Tandon, and
M F Roesler, and
L I Lukacs, and
M I Ionescu
January 1973,
Kardiologia polska,
A P Tandon, and
M F Roesler, and
L I Lukacs, and
M I Ionescu
December 1970,
The New England journal of medicine,
A P Tandon, and
M F Roesler, and
L I Lukacs, and
M I Ionescu
July 1975,
The Journal of thoracic and cardiovascular surgery,
A P Tandon, and
M F Roesler, and
L I Lukacs, and
M I Ionescu
November 1972,
The Proceedings of the Institute of Medicine of Chicago,
A P Tandon, and
M F Roesler, and
L I Lukacs, and
M I Ionescu
January 1969,
Kardiologia polska,
A P Tandon, and
M F Roesler, and
L I Lukacs, and
M I Ionescu
March 2003,
Kardiologia polska,
A P Tandon, and
M F Roesler, and
L I Lukacs, and
M I Ionescu
May 1970,
Canadian Medical Association journal,
A P Tandon, and
M F Roesler, and
L I Lukacs, and
M I Ionescu
November 1972,
Journal of the National Medical Association,
