| Reductive annuloplasty of double orifices in patients with primary dilated cardiomyopathy. | |
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MedLine Citation:
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PMID: 11899177 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Patients with primary dilated cardiomyopathy exhibit extensive remodeling of the left ventricle, mitral and tricuspid annular dilation and both mitral and tricuspid regurgitation. These factors significantly contribute to heart failure, and are predictors of early lethal outcome. The aim of this study is to show hemodynamic and clinical improvement after reductive annuloplasty of both mitral and tricuspid orifices in primary dilated cardiomyopathy. METHODS: There were 76 patients with primary dilated cardiomyopathy. Mitral annuloplasty using a Carpentier-Edwards sizer was performed on 9 patients, and posterior semicircular reductive annuloplasty was performed on 67 patients. Modified De Vega's tricuspid annuloplasty was performed on all patients. RESULTS: Immediate and long-term results showed significant improvement in hemodynamic values and myocardial contractility after operation. CONCLUSIONS: Reductive annuloplasty of both mitral and tricuspid orifices corrects remodeling of the left ventricle of the heart, changes sphericity and geometry of the left ventricle, improves hemodynamic action of the left and right ventricle, and slows down progression of heart failure. We recommend reductive annuloplasty of both mitral and tricuspid orifices before or soon after the first decompensation. |
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Authors:
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Ninoslav Radovanović; Bogoljub Mihajlović; Jan Selestianskỳ; Vladimir Torbica; Milan Mijatov; Miroslava Popov; Zivojin S Jonjev |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 73 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2002 Mar |
Date Detail:
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Created Date: 2002-03-18 Completed Date: 2002-03-29 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: United States |
Other Details:
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Languages: eng Pagination: 751-5 Citation Subset: AIM; IM |
Affiliation:
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Clinic of Cardiovascular Surgery, University of Novi Sad, Yugoslavia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Cardiomyopathy, Dilated / surgery*, ultrasonography Dilatation, Pathologic Female Hemodynamics Humans Male Middle Aged Mitral Valve / pathology, surgery* Mitral Valve Insufficiency / surgery, ultrasonography Tricuspid Valve / pathology, surgery* Tricuspid Valve Insufficiency / surgery, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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