ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Nair, R. U.
Right arrow Articles by Tan, L.-B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Nair, R. U.
Right arrow Articles by Tan, L.-B.
Related Collections
Right arrow Cardiac - other
Right arrow Congestive Heart Failure

Ann Thorac Surg 2001;71:2046-2049
© 2001 The Society of Thoracic Surgeons

How to do it

Left ventricular volume reduction without ventriculectomy

R. Unnikrishnan Nair, FRCSa, Simon G. Williams, MRCPb, Kingsley U. Nwafor, FRCSa, Alistair S. Hall, MRCPb, Lip-Bun Tan, FRCPb

a Institute for Cardiac Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom
b Cardiovascular Research, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom

Accepted for publication January 13, 2001.

Address reprint requests to Dr Nair, Department of Cardiothoracic Surgery, D Floor, Jubilee Wing, Yorkshire Heart Centre, Leeds General Infirmary, Great George St, Leeds LS1 3EX, United Kingdom
e-mail: unair{at}ulth.northy.nhs.uk

Partial left ventriculectomy (the Batista procedure) to achieve left ventricular volume reduction (LVVR) has been advocated as an alternative to cardiac transplantation in patients with end-stage dilated left ventricles. Here, we describe a new technique of LVVR that uses realignment of the papillary muscles, thus avoiding ventriculectomy, and report preliminary results. Eight patients (all male, mean age 49.3 [range 38 to 70] years) underwent LVVR between October 1998 and March 2000 as an adjunct to surgical coronary revascularization. Five were assessed with echocardiography and cardiopulmonary exercise testing before and after (mean follow-up time 267 [range 94 to 416] days) the operation. LVVR significantly improved left ventricular end-diastolic volume (254 ± 32 to 218 ± 36 mL, p = 0.03), left ventricular ejection fraction (20.14% ± 1.36% to 31.28% ± 2.32%, p = 0.007), and exercise duration (from 394 ± 88 to 611 ± 79 seconds, p = 0.03). A nonsignificant improvement in maximal oxygen consumption was also observed. This technique of LVVR is relatively simple to perform and is accomplished through a small apical cardiotomy. Preliminary results show an encouraging functional improvement following surgery. Future controlled studies are required to assess this novel technique further.




This article has been cited by other articles:


Home page
 ICVTSHome page
K.-u Fumimoto, T. Fukui, T. Shimokawa, and S. Takanashi
Papillary muscle realignment and mitral annuloplasty in patients with severe ischemic mitral regurgitation and dilated heart
Interactive CardioVascular and Thoracic Surgery, June 1, 2008; 7(3): 368 - 371.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
W. Y. Szeto, R. C. Gorman, J. H. Gorman III, and M. A. Acker
Ischemic Mitral Regurgitation
Card. Surg. Adult, January 1, 2008; 3(2008): 785 - 802.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
T. Ueno, R. Sakata, Y. Iguro, T. Nagata, Y. Otsuji, and C. Tei
New Surgical Approach to Reduce Tethering in Ischemic Mitral Regurgitation by Relocation of Separate Heads of the Posterior Papillary Muscle
Ann. Thorac. Surg., June 1, 2006; 81(6): 2324 - 2325.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
M. H. Mandegar, F. Roshanali, M. A. Yousefnia, and M. Marzban
Papillary muscle approximation combined with ventriculoplasty in patients with ischemic cardiomyopathy and functional mitral regurgitation: effects on mitral valve and LV shape
Interactive CardioVascular and Thoracic Surgery, April 1, 2006; 5(2): 81 - 84.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
G. Buckberg, L. Menicanti, S. De Oliveira, T. Isomura, and and the RESTORE team
Restoring papillary muscle dimensions during restoration in dilated hearts
Interactive CardioVascular and Thoracic Surgery, October 1, 2005; 4(5): 475 - 477.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. Cirillo, A. Amaducci, F. Brunelli, M. Dalla Tomba, P. Parrella, G. Tasca, G. Troise, and E. Quaini
Determinants of postinfarction remodeling affect outcome and left ventricular geometry after surgical treatment of ischemic cardiomyopathy
J. Thorac. Cardiovasc. Surg., June 1, 2004; 127(6): 1648 - 1656.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
Y. Matsui, Y. Fukada, Y. Naito, and S. Sasaki
Integrated overlapping ventriculoplasty combined with papillary muscle plication for severely dilated heart failure
J. Thorac. Cardiovasc. Surg., April 1, 2004; 127(4): 1221 - 1223.
[Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
S. S Kabbani, M. B. Izzat, H. Jamil, B. Akasheh, D. Hanania, and H. Raffa
Left Ventricular Volume Reduction Surgery in the Middle East
Asian Cardiovasc Thorac Ann, June 1, 2003; 11(2): 99 - 101.
[Abstract] [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
Copyright © 2001 by The Society of Thoracic Surgeons.