| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1998;66:1963-1968
© 1998 The Society of Thoracic Surgeons
a Dedinje Cardiovascular Institute and Belgrade University Medical School, Belgrade, Yugoslavia
Accepted for publication June 1, 1998.
Address reprint requests to Dr Gradinac, Dedinje Cardiovascular Institute, Milana Tepica 1, 11040 Belgrade, Yugoslavia
e-mail: (gradinac{at} eunet.yu)
Background. Recent reports show that partial left ventriculectomy improves hemodynamic and functional status in patients with dilated cardiomyopathy. This study sought to determine the effects of partial left ventriculectomy on clinical outcome and left ventricular function during 6-month follow-up.
Methods. Twenty-two patients underwent partial left ventriculectomy. Mitral valve repair was performed whenever possible, otherwise the valve was replaced. Hemodynamic and functional data were obtained at baseline, as well as 2 weeks and 6 months postoperatively.
Results. Overall, 7 of 22 patients died; there were three early and four late deaths. One-year survival was 68% ± 10%. Ejection fraction increased from 23.9% ± 6.8% before the operation to 40.7% ± 12.5% at 2 weeks and to 36.8% ± 7.7% at 6 months (p < 0.001, for both). The cardiac index before the operation, at 2 weeks, and at 6 months was 2.3 ± 0.8, 2.9 ± 0.6, and 3.4 ± 1.0 L/m2 per minute, respectively (p = 0.035, and p = 0.009, compared with baseline). The increase in ejection fraction 2 weeks postoperatively was less in patients with left circumflex artery dominance (10.9% ± 3.2% compared with 19.9% ± 10.7%, respectively, p = 0.017). At 6-month follow up, all surviving patients except one improved New York Heart Association functional class when compared with preoperative status (from 3.8 ± 0.4 to 1.4 ± 0.6, p = 0.0002).
Conclusions. Early hemodynamic improvement after partial left ventriculectomy was maintained during midterm follow-up.
This article has been cited by other articles:
|
|
 |
|
  K. Iino, H. Ohashi, Y. Tsutsumi, T. Kawai, H. Fujii, and M. Ohnaka Biventricular Pacing 18 Months After Batista Operation Ann. Thorac. Surg., June 1, 2006; 81(6): 2302 - 2304. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Ascione, P. Wilde, and G. D. Angelini Left ventricular volume reduction MMCTS, June 28, 2005; 2005(0628): 760. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Koyama, K. Nishimura, Y. Soga, O. Unimonh, and M. Komeda Reply to the Editor J. Thorac. Cardiovasc. Surg., December 1, 2003; 126(6): 2110 - 2111. [Full Text] [PDF]
|
|
|
|
|
|
T. Koyama, K. Nishimura, Y. Soga, O. Unimonh, K. Ueyama, and M. Komeda Importance of preserving the apex and plication of the base in left ventricular volume reduction surgery J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 669 - 677. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. M. Kanashiro, E. Nozawa, N. Murad, L. R. Gerola, V. A. Moises, and P. J.F. Tucci Myocardial infarction scar plication in the rat: cardiac mechanics in an animal model for surgical procedures Ann. Thorac. Surg., May 1, 2002; 73(5): 1507 - 1513. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Guccione, S. M. Moonly, A. W. Wallace, and M. B. Ratcliffe Residual stress produced by ventricular volume reduction surgery has little effect on ventricular function and mechanics: A finite element model study J. Thorac. Cardiovasc. Surg., September 1, 2001; 122(3): 592 - 599. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Bhat and R. D. Dowling Evaluation of predictors of clinical outcome after partial left ventriculectomy Ann. Thorac. Surg., July 1, 2001; 72(1): 91 - 95. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Isomura, H. Suma, T. Horii, T. Sato, T. Kobashi, H. Kanemitsu, J. Hoshino, and K. Hisatomi Left ventricle restoration in patients with non-ischemic dilated cardiomyopathy: risk factors and predictors of outcome and change of mid-term ventricular function Eur. J. Cardiothorac. Surg., May 1, 2001; 19(5): 684 - 689. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Franco-Cereceda, P. M. McCarthy, E. H. Blackstone, K. J. Hoercher, J. A. White, J. B. Young, and R. C. Starling Partial left ventriculectomy for dilated cardiomyopathy: Is this an alternative to transplantation? J. Thorac. Cardiovasc. Surg., May 1, 2001; 121(5): 879 - 893. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. F. P. Moreira, N. A.G. Stolf, M. d. L. Higuchi, F. Bacal, E. A. Bocchi, and S. A. Oliveira Current perspectives of partial left ventriculectomy in the treatment of dilated cardiomyopathy Eur. J. Cardiothorac. Surg., January 1, 2001; 19(1): 54 - 60. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Z. Popovic, M. Miric, A.N. Neskovic, J. Vasiljevic, P. Otasevic, M. Zarkovic, M. Bojic, and S. Gradinac Functional capacity late after partial left ventriculectomy: relation to ventricular geometry and performance Eur. J. Cardiothorac. Surg., January 1, 2001; 19(1): 61 - 67. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O.H. Frazier, S. Gradinac, A. M. Segura, P. Przybylowski, Z. Popovic, J. Vasiljevic, A. Hernandez, H. A. McAllister Jr, M. Bojic, and B. Radovancevic Partial left ventriculectomy: which patients can be expected to benefit? Ann. Thorac. Surg., June 1, 2000; 69(6): 1836 - 1841. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Suma, T. Isomura, T. Horii, T. Sato, N. Kikuchi, K. Iwahashi, and J. Hosokawa NONTRANSPLANT CARDIAC SURGERY FOR END-STAGE CARDIOMYOPATHY J. Thorac. Cardiovasc. Surg., June 1, 2000; 119(6): 1233 - 1245. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Z. Popovic and S Gradinac Partial left ventriculectomy improves left ventricular end systolic elastance in patients with idiopathic dilated cardiomyopathy Heart, March 1, 2000; 83(3): 316 - 319. [Abstract] [Full Text]
|
|
|
|
|
|
L. F. P. Moreira and N. A.G. Stolf Reply Ann. Thorac. Surg., May 1, 1999; 67(5): 1542 - 1542. [Full Text] [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 |
