Endoaneurysmorrhaphy: A technique to improve ejection fraction in left ventricular aneurysms

Research paper by Srirup Chatterjee

Indexed on: 01 Jun '93Published on: 01 Jun '93Published in: Indian Journal of Thoracic and Cardiovascular Surgery


Traditional linear closure of left ventricular aneurysms may leave a distorted left ventricular cavity with a residual akinetic septum. The technique of insertion of an endoaneurysmal patch has theoretical advantages in this respect. In a 13-month-period, seven patients underwent endoaneurysmorrhaphy and the surgical technique is described. There was one postoperative death. The survivors had good ejection fraction postoperatively and in five patients there was a measured increase in global ejection fraction from preoperative values. Further study and follow up is needed to demonstrate the superiority of this promising technique.