Document Detail


Left ventricular geometry after endoventriculoplasty.
MedLine Citation:
PMID:  8297609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From 1988 to 1992, 65 patients underwent endoventriculoplasty (EVP) for anteroapical left ventricular aneurysm. The operative mortality was 4.6%, and 9.2% needed intraaortic balloon counterpulsation (IABP). Forty-three patients were restudied by ventriculography and the preoperative and postoperative silhouettes were analyzed by means of a special computer program. In 24 patients computerized analysis showed a restored left ventricular (LV) geometry with symmetrical contraction pattern and a contractile apical segment. Residual deformity of the LV chamber associated with an asymmetrical contraction pattern was present in 19 cases. Data from these 43 patients were analyzed to detect predictive factors for successful heart geometry reconstruction. Univariate analysis revealed that the preoperative ejection fraction, global contraction score, and a non-aneurysmatic segments contraction score did not determine successful reconstruction. The presence of a preserved proximal septum (2.5 cm or more) on echocardiography was the only significant predictor. We would recommend liberal use of the EVP technique in patients with anteroapical LV aneurysm and preserved proximal septum in order to restore satisfactory LV geometry with a low operative risk. Caution must be taken when performing EVP in patients with fibrotic proximal septum.
Authors:
M Salati; P Di Biasi; A Pajè; C Santoli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  7     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1993  
Date Detail:
Created Date:  1994-03-09     Completed Date:  1994-03-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  574-8; discussion 579     Citation Subset:  IM    
Affiliation:
Division of Thoracic and Cardiovascular Surgery, L. Sacco Hospital, Milano, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cardiac Surgical Procedures / methods
Coronary Angiography
Echocardiography
Female
Heart Aneurysm / physiopathology,  radiography,  surgery*,  ultrasonography
Heart Ventricles / pathology,  radiography,  surgery*,  ultrastructure
Hemodynamics
Humans
Male
Middle Aged
Myocardial Contraction
Predictive Value of Tests
Stroke Volume
Treatment Outcome
Ventricular Function, Left*

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


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