Document Detail


Left ventricular volume reduction surgery: The 4th International Registry Report 2004.
MedLine Citation:
PMID:  16305637     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND METHODS: An international registry of left ventricular volume reduction (LVVR) procedures, including partial left ventriculectomy, has been expanded, updated, and refined to include 568 cases voluntarily reported from 52 hospitals in 12 countries. RESULTS: Gender, age, ventricular dimension, ethnology, myocardial mass, presence or absence of mitral regurgitation, as well as transplant indication, had little effect on event-free survival, which was defined as either absence of death or ventricular failure requiring mechanical assist or transplantation. Poor preoperative patient condition such as New York Heart Association classification IV, depressed contractility and decompensation requiring an emergency procedure were associated with reduced event-free survival. Other risk factors included an early surgery date, lack of experience, dilated cardiomyopathy as the underlying pathology and extended myocardial resection. Performance of LVVR reached a peak by 1998, but was largely abandoned by 2001, except in Asia, where experienced institutes continue to perform it in patients in better condition with preserved myocardial contractility. CONCLUSION: Avoidance of risk factors appears to have contributed to the recent survival improvement and may help stratify patients for LVVR. While performance has been decreasing, the concept has been extended to other LVVR and less invasive procedures, which are now under clinical trials.
Authors:
Akira T Kawaguchi; Hisayoshi Suma; Wolfgang Konertz; Sinisa Gradinac; Jacob Bergsland; Robert D Dowling; Masashi Komeda; Soichiro Kitamura; Hirokazu Ohashi; Byung-Chul Chang; Leonard M Linde; Randas J V Batista;
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  20     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2005 Nov-Dec
Date Detail:
Created Date:  2005-12-06     Completed Date:  2006-04-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S5-11     Citation Subset:  IM    
Affiliation:
Tokai University School of Medicine, Isehara, Japan. akira@is.icc.u-tokai.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Asia / epidemiology
Cardiac Surgical Procedures* / adverse effects
Cardiac Volume*
Child
Child, Preschool
Disease-Free Survival
Europe / epidemiology
Female
Follow-Up Studies
Heart Failure / surgery
Humans
Hypertrophy, Left Ventricular / epidemiology,  physiopathology,  surgery*
Infant
Male
Middle Aged
Mitral Valve Insufficiency / surgery
Myocardial Contraction
Registries
Risk Factors
Stroke Volume
Treatment Failure
Treatment Outcome
United States / epidemiology

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


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