gms | German Medical Science

130. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

30.04. - 03.05.2013, München

Surgical treatment of ventricular tachycardia in postinfarction left ventricular aneurysm

Meeting Abstract

  • Diana Diaz Vazquez - HDZ NRW Bad Oeynhausen, Herzchirurgie, Bad Oeynhausen
  • Ulrich Rosendahl - Herzzentrum Lahr, Herzchirurgie, Lahr
  • Stefan Bauer - Herzzentrum Lahr, Herzchirurgie, Lahr
  • Brigite Osswald - HDZ NRW Bad Oeynhausen, Herzchirurgie, Bad Oeynhausen
  • Jan Gummert - HDZ NRW Bad Oeynhausen, Herzchirurgie, Bad Oeynhausen
  • Jürgen Ennker - Herzzentrum Lahr, Herzchirurgie, Lahr

Deutsche Gesellschaft für Chirurgie. 130. Kongress der Deutschen Gesellschaft für Chirurgie. München, 30.04.-03.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13dgch614

doi: 10.3205/13dgch614, urn:nbn:de:0183-13dgch6148

Published: April 26, 2013

© 2013 Diaz Vazquez et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Introduction: The surgical ventricular restoration in patients with coronary artery disease and postinfarction left ventricular aneurysm can be extended to treat ventricular tachycardia. The aim of this study was to evaluate the left ventricular aneurysmectomy, with endocardial resection of the scar, to treat ventricular tachycardia in patients with postinfarction left ventricular aneurysm.

Material and methods: From 2004 to 2010, 23 patients (9 women, 14 men) with ventricular tachycardia and left ventricular aneurysm underwent surgical ventricular restoration with complete or partial resection of the scar. Retrospective analysis of medical files and preoperative and postoperative echocardiographic results was done. Arrhythmia control was evaluated by analysis of events registered by implanted defibrillators and by review of patient’s records.

Results: Mean postoperative follow-up was 182.69 days (Range 7-215 days). Mean age was 67.77+/-10.80 (43-83). All aneurysms were anterior. All patients underwent concomitant coronary artery bypass grafting. Surgical success rate in patients with preoperative spontaneous ventricular tachycardia was 62.5%. Inducible ventricular tachycardia was found in 3 patients of 12 who underwent postoperative programmed stimulation. The ejection fraction increased from 24.22%+/-6.22% to 42.11%+/-7.14% (p<0.05). The New York Heart Association class was improved from 2.67 to 1.82 (p<0.05). Hospital mortality was 4.34%. Six months survival was 91.30%, one year survival was 86.95% and two years survival was 82.60%.

Conclusion: The surgical ventricular restoration with endocardial resection of the scar is an effective treatment for postinfartion left ventricular aneurysm with ventricular tachycardia. Reduce the need for an implantable defibrillator in most patients. The increased of the ejection fraction and the improvement of the New York Heart Association class are statistical significant (p<0.05). The surgical treatment achieved satisfactory result regarding early mortality and survival.