| Left atrial plication and mitral valve replacement for giant left atrium accompanying mitral lesion. | |
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MedLine Citation:
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PMID: 8507966 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between January 1982 and November 1992, 38 patients received simultaneous mitral valve replacement (MVR) and left atrial plication (LAP) because of giant left atrium accompanying mitral lesion. Their ages ranged from 33 to 70 years, and the mitral lesion was caused by rheumatic heart disease in all patients. MVR was performed with a St. Jude Medical prosthesis for all patients and the left atrial wall was plicated with running 3-0 Nespolene to reduce the width to 3 to 5 cm. Respiration requiring mechanical ventilation more than 48 hours after operation occurred in four patients (10.5%) and postoperative low cardiac output requiring a high dose of dopamine HCl or intraaortic balloon pumping in nine patients (23.7%). The left atrial diameter measured by echocardiogram was a mean of 7.3 +/- 1.0 cm before operation and 5.8 +/- 1.0 cm postoperatively. The cardiothoracic ratio on the chest roentgenogram registered a preoperative mean of 73.3% +/- 9.8% and was 65.7% +/- 8.4% after operation. The pre- and postoperative values were significantly different (p < 0.01). The postoperative exercise level was a mean of 5.3 metabolic units for 24 patients and the postoperative New York Heart Association functional classification indicated Class I or II for 37 patients with no evidence of left atrial thrombus except in the case of one early death. LAP with MVR for patients with giant left atrium due to mitral lesion appeared to result in improvement in respiratory and circulatory functions. |
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Authors:
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T Isomura; K Hisatomi; A Hirano; H Maruyama; K Kosuga; K Ohishi |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of cardiac surgery Volume: 8 ISSN: 0886-0440 ISO Abbreviation: J Card Surg Publication Date: 1993 May |
Date Detail:
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Created Date: 1993-07-14 Completed Date: 1993-07-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 365-70 Citation Subset: IM |
Affiliation:
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Second Department of Surgery, Kurume University Hospital, Fukuoka, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Dilatation, Pathologic / etiology Female Heart Atria / pathology, surgery* Heart Valve Prosthesis* Humans Male Middle Aged Mitral Valve / surgery* Mitral Valve Insufficiency / complications, surgery Mitral Valve Stenosis / complications, surgery Rheumatic Heart Disease / pathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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