Document Detail


Changes in left ventricular morphology and function in end-stage dilated cardiomyopathy after reductive annuloplasty of double mitral and tricuspid orifices.
MedLine Citation:
PMID:  12489903     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIM: The aim of this study is to show the changes in left ventricular morphology and function after reductive annuloplasty of double mitral and tricuspid orifices (RADO) in ischemic dilated cardiomyopathy (IDCM) and primary dilated cardiomyopathy (PDCM) analyzed by intraoperative transesophageal echocardiography (TEE). METHODS: There were 274 patients, mean age 50.1 years, 188 operated due to IDCM with ejection fraction under 30%, and 86 patients due to PDCM. Mitral annuloplasty according to A. Carpentier and our own procedure was done in 49 and 225 patients, respectively. In 265 cases (97%) our modified De Vega's tricuspid annuloplasty was performed. RESULTS: CONCLUSION: RADO significantly changes left ventricular morphology, reverses remodeling of the heart, decreases sphericity of the left heart, improves hemodynamic function of both ventricles, and slows down progression of cardiac failure. We recommend RADO in the early stage of PDCM, immediately after the first decompensation, and as an important associated procedure in IDCM.
Authors:
N Radovanovic; L J Petrovic; M Zorc; B Mihajilovic; M Kovac; S Nicin; M Popov; V Torbica; D Uscumlic-Kovacevic
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  17     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2002 May-Jun
Date Detail:
Created Date:  2002-12-19     Completed Date:  2003-04-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  201-4     Citation Subset:  IM    
Affiliation:
University Clinic of Cardiovascular Surgery, Novi Sad, Yugoslavia. nradov@eunet.yu
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MeSH Terms
Descriptor/Qualifier:
Cardiomyopathy, Dilated / diagnosis,  physiopathology*,  surgery
Echocardiography, Transesophageal
Extracorporeal Circulation*
Female
Heart Ventricles / physiopathology,  surgery,  ultrasonography
Humans
Male
Middle Aged
Mitral Valve / surgery*,  ultrasonography
Mitral Valve Insufficiency / diagnosis,  physiopathology,  surgery
Stroke Volume / physiology
Treatment Outcome
Tricuspid Valve / surgery*,  ultrasonography
Tricuspid Valve Insufficiency / diagnosis,  physiopathology,  surgery
Ventricular Function, Left / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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