Document Detail

Surgical treatment of giant left atrium combined with mitral valvular disease. Plication procedure for reduction of compression to the left ventricle, bronchus, and pulmonary parenchyma.
MedLine Citation:
PMID:  6855258     Owner:  NLM     Status:  MEDLINE    
Giant left atrium associated with mitral valvular disease frequently produce postoperative problems with regard to hemodynamical and respiratory management. A new procedure of para-annular and superior plication combined with the conventional right-side plication with trimming of the left atrial wall was devised to relieve compression induced by the giant left atrium. A total of 40 patients with giant left atrium underwent operation. Ten had the valvular procedure only and 30 had the valvular and plication procedures. The plication procedure resulted in a significant decrease in the incidence of low-output syndrome and respiratory failure postoperatively, as well as a marked decrease in mortality. We conclude that the plication procedure is an effective means of relieving compression in the presence of giant left atrium.
K Kawazoe; S Beppu; Y Takahara; N Nakajima; K Tanaka; K Ichihashi; T Fujita; H Manabe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  85     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1983 Jun 
Date Detail:
Created Date:  1983-07-08     Completed Date:  1983-07-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  885-92     Citation Subset:  AIM; IM    
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MeSH Terms
Cardiac Output, Low / etiology
Dilatation, Pathologic / complications,  surgery
Heart Atria / pathology*,  surgery
Heart Valve Diseases / complications
Middle Aged
Mitral Valve*
Postoperative Complications / mortality
Respiratory Insufficiency / etiology

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

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