| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1993;56:316-322
© 1993 The Society of Thoracic Surgeons
Division of Thoracic and Cardiovascular Surgery, and Division of Cardiology, "L. Sacco" Hospital, Milano, Italy
Accepted for publication November 11, 1992.
* Address reprint requests to Dr Salati, Divisione di Chirurgia Toracica e Cardiovascolare, Ospedale "L. Sacco," Via G.B. Grassi, 74-20157 Milano, Italia.
From 1988 to 1991, 48 patients with left ventricular aneurysm underwent endoventriculoplasty with a circular patch to preserve the left ventricular geometry. Of these patients, 98% underwent concomitant myocardial revascularization, and in 77% the left anterior descending coronary artery was bypassed. The overall operative mortality rate was 4.1%. The 3-year survival rate was 91%, and 67% of patients had no further cardiac complications. Cardiac performance was assessed postoperatively by ventriculography in 28 patients. The global ejection fraction rose from 0.39 ± 0.11 to 0.57 ± 0.14 (p < 0.001); the left ventricular end-diastolic pressure fell from 20 ± 7.5 mm Hg to 15 ± 7.8 mm Hg (p <0.05). Computerized analysis of regional contraction revealed a significant improvement in the anterolateral and apical segments and in the transitional zone. In 61% of the patients, a normal contraction pattern resumed, whereas in the remaining 39%, a residual deformity of the left ventricular chamber was present. The best results were obtained in patients with a preserved proximal septum at echocardiography.
This article has been cited by other articles:
|
|
 |
|
  M. Doss, S. Martens, S. Sayour, and W. Hemmer Long term follow up of left ventricular function after repair of left ventricular aneurysm. A comparison of linear closure versus patch plasty Eur J Cardiothorac Surg, October 1, 2001; 20(4): 783 - 785. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Dalla Vecchia, A. Mangini, P. Di Biasi, C. Santoli, and A. Malliani Improvement of left ventricular function and cardiovascular neural control after endoventriculoplasty and myocardial revascularization Cardiovasc Res, January 1, 1998; 37(1): 101 - 107. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Salati, M. Lemma, D. G. Di Mattia, P. Danna, A. Cialfi, A. Salvaggio, and C. Santoli Myocardial Revascularization in Patients With Ischemic Cardiomyopathy: Functional Observations Ann. Thorac. Surg., December 1, 1997; 64(6): 1728 - 1734. [Abstract] [Full Text]
|
|
|
|
|
|
O. M. Shapira, R. Davidoff, R. J. Hilkert, G. S. Aldea, C. A. Fitzgerald, and R. J. Shemin Repair of Left Ventricular Aneurysm: Long-Term Results of Linear Repair Versus Endoaneurysmorrhaphy Ann. Thorac. Surg., March 1, 1997; 63(3): 701 - 705. [Abstract] [Full Text]
|
|
|
|
|
|
R. Scrofani, M. Salati, P. Di Biasi, and C. Santoli The Role of Autologous Pericardium in Cardiac Surgery Ann. Thorac. Surg., January 1, 1997; 63(1): 291 - 291. [Full Text]
|
|
|
|
|
|
The Use of Autologous Pericardium for Ventricular Aneurysm Closure Ann. Thorac. Surg., January 1, 1996; 61(1): 271 - 272. [Full Text]
|
|
|
|
 |
|
 M. Salati, A. Paje, P. Di Biasi, P. Fundaro, A. Cialfi, and C. Santoli Severe diastolic dysfunction after endoventriculoplasty J. Thorac. Cardiovasc. Surg., April 1, 1995; 109(4): 694 - 701. [Abstract] [Full Text]
|
|
|
|
|
|
P. D. Biasi, A. Paje, M. Salati, G. Bozzi, M. Viecca, A. Cialfi, M. D. Biasi, S. Guzzetti, and C. Santoli Surgical timing in aortic regurgitation: Left ventricular function analysis by contractility score Ann. Thorac. Surg., August 1, 1994; 58(2): 509 - 515. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
