| Autopsy findings in early and late postoperative death after partial left ventriculectomy. | |
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MedLine Citation:
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PMID: 10750759 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Partial left ventriculectomy (PLV) is an alternative to heart transplantation for patients with severe heart failure. However, this procedure is accompanied by high morbidity and mortality. Therefore, we studied the hearts of 12 patients who underwent this procedure to increase our understanding of the causes of bad outcome. METHODS: We analyzed the autopsy hearts of 11 of 16 patients who died after PLV, and one heart from a patient who underwent heart transplantation. RESULTS: Six patients died less than 30 days postoperatively, 4 of cardiogenic shock, 1 of arrhythmia, and 1 of coagulopathy. Five patients died from 36 to 120 days after the procedure, 4 of cardiogenic shock and 1 of arrhythmia. The patient who underwent heart transplantation had a cardiogenic shock 230 days after PLV. Ten hearts weighed more than 500 g and nine had myocardial infarction that extended to the papillary muscles. Four patients had infarction of both papillary muscles and 3 of them had episodes of arrhythmia, suggesting some relation between these events. CONCLUSIONS: We found several important morphologic clues for bad outcome: infarction of both papillary muscles, which may be associated with the development of arrhythmia, and myocardial infarction and pericardial hemorrhage, which may contribute to the outcome of heart failure. |
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Authors:
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P M Cury; M L Higuchi; P S Gutierrez; L F Moreira; E A Bocchi; N A Stolf; A D Jatene |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 69 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2000 Mar |
Date Detail:
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Created Date: 2000-04-27 Completed Date: 2000-04-27 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 769-73 Citation Subset: AIM; IM |
Affiliation:
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Heart Institute (InCor), University of São Paulo Medical School, SP, Brazil. pmcury@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Autopsy Cardiac Surgical Procedures / adverse effects*, methods Cardiomyopathy, Dilated / surgery* Female Heart Ventricles / pathology*, surgery* Humans Male Middle Aged Postoperative Complications / epidemiology Postoperative Period Time Factors Treatment Failure |
| Comments/Corrections | |
Comment In:
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Ann Thorac Surg. 2001 Jun;71(6):2088
[PMID:
11426822
]
Ann Thorac Surg. 2000 Dec;70(6):2185 [PMID: 11156156 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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