| Encircling endocardial ventriculotomy: a new surgical treatment for life-threatening ventricular tachycardias resistant to medical treatment following myocardial infarction. | |
| | |
MedLine Citation:
|
PMID: 753158 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Ventricular tachycardias occurring after myocardial infarction (MI) and resistant to medical treatment were successfully treated in 5 patients by encircling endocardial ventriculotomy. All patients had a history of MI. The delay between MI and ventricular tachycardias ranged from 1 month to 8 years. A reentrant mechanism was demonstrated by laboratory studies. Under cardiopulmonary bypass, the left ventricle was entered through the thin fribrous scar. Encircling endocardial ventriculotomy was carried out from the inside of the ventricle, through the whole thickness of the normal myocardium, and along the border of the endocardial fibrosis, which delineated the area of diseased myocardium. The ventriculotomy was placed in the free wall or in the septum or in both of these locations. It was repaired and the left ventricle was closed. Drug therapy was discontinued after operation. No ventricular tachycardias recurred during a follow-up period of 6 to 24 months. The effectiveness of encircling endocardial ventriculotomy is explained by the exclusion of the entire diseased area, especially the border zone and the septum. This technique is useful in any location of MI. |
| | |
Authors:
|
G Guiraudon; G Fontaine; R Frank; G Escande; P Etievent; C Cabrol |
Related Documents
:
|
6837408 - Myocardial infarction in patients with coronary artery spasm demonstrated by angiography. 16541128 - Reduced cardiac output is associated with decreased mitochondrial efficiency in the non... 12538818 - Early treatment with hepatocyte growth factor improves cardiac function in experimental... 2343818 - Anatomic validation of electrocardiographic estimation of the size of acute or healed m... 19301688 - Qt dispersion and heart rate predict the risk of sudden unexpected cardiac death in men... 17548728 - Long-term prognostic value of neopterin: a novel marker of monocyte activation in patie... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 26 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1978 Nov |
Date Detail:
|
Created Date: 1979-09-25 Completed Date: 1979-09-25 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 438-44 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cardiopulmonary Bypass Endocardium / surgery* Follow-Up Studies Heart Septum / surgery Heart Ventricles* Humans Male Middle Aged Myocardial Infarction / complications*, surgery Tachycardia / etiology, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: An appraisal of blood trauma and blood-prosthetic interface during left ventricular bypass in the ca...
Next Document: Operative treatment of congenital aortic stenosis.