Document Detail

Reductive annuloplasty of double orifices in patients with primary dilated cardiomyopathy.
MedLine Citation:
PMID:  11899177     Owner:  NLM     Status:  MEDLINE    
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.
Ninoslav Radovanović; Bogoljub Mihajlović; Jan Selestianskỳ; Vladimir Torbica; Milan Mijatov; Miroslava Popov; Zivojin S Jonjev
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  73     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-03-18     Completed Date:  2002-03-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  751-5     Citation Subset:  AIM; IM    
Clinic of Cardiovascular Surgery, University of Novi Sad, Yugoslavia.
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MeSH Terms
Cardiomyopathy, Dilated / surgery*,  ultrasonography
Dilatation, Pathologic
Middle Aged
Mitral Valve / pathology,  surgery*
Mitral Valve Insufficiency / surgery,  ultrasonography
Tricuspid Valve / pathology,  surgery*
Tricuspid Valve Insufficiency / surgery,  ultrasonography

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