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Surgical treatment of ventricular aneurysms.

The surgical treatment of ventricular myocardial aneurysms has been somewhat controversial. Most clinicians now agree that refractory congestive heart failure or arterial embolization from clot in the aneurysm constitutes an adequate indication for operation. Congestive heart failure has been the commonest symptom and has been shown to be due to paradoxical filling of the poorly functioning aneurysmal area or poor myocardial function secondary to myocardial dilatation (or both) combined, in some cases, with damage of the remaining myocardium.1 , 2 Usually, the aneurysm is apical or anterior (or both) and involves occlusion or severe narrowing of the anterior descending coronary artery. Posterior . . .