| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2004;77:2115-2121
© 2004 The Society of Thoracic Surgeons
a Division of Cardiac Surgery, University Hospital, Torino, Italy
b Department of Cardiology and Cardiac Surgery, "G D'Annunzio" University, Chieti, Italy
Accepted for publication October 14, 2003.
* Address reprint requests to Dr Calafiore, Division of Cardiac Surgery, "S Giovanni Battista" Hospital, c.so Bramante 86, Torino, Italy .
e-mail: calafiore{at}unich.it
BACKGROUND: Our purpose is to describe a technique for exclusion of anteroseptal dyskinetic or akinetic areas.
METHODS: From January to December 2002, 22 consecutive patients with myocardial infarction following left anterior descending artery occlusion underwent septal reshaping. All of them were admitted for dyspnea. Eight patients were referred for angina. After a 5 to 8 cm apical incision, 2 U stitches were passed from inside to join the anterior wall to the septum, as high as possible, following the border of the scars. An oval Dacron patch was then sutured from the septum (end of the direct suture through the border with the inferior septum) to the anterior wall (between the healthy and the scarred wall) up to the new apex. Purpose of the procedure is to maintain a longitudinal size as similar as possible to the normal. The incision was closed in a double layer.
RESULTS: No patient died and only one had acute renal failure. No patients had restrictive syndrome. After a mean follow-up of 6.7 ± 3.6 months (3 to 15), mean New York Heart Association Class improved from 2.7 ± 1.1 to 1.2 ± 0.3 (p < 0.001). Echocardiographic results showed reduction of left ventricle volumes and normalization of the stroke volume. In patients with low ejection fraction (
35%), left ventricular volumes decreased with a concomitant ejection fraction increase and a normal stroke volume. In patients with smaller cavities, significant reduction of left ventricular cavities was also obtained, with similar changes in ejection fraction and normal stroke volume.
CONCLUSIONS: This technique treats all the dyskinetic or akinetic areas following left anterior descending artery occlusion, when the septal involvement is higher than the anterior free wall. Clinical and morphologic results are good.
This article has been cited by other articles:
|
|
 |
|
  A. M. Calafiore, A. L. Iaco, A. Bivona, E. Varone, S. Scandura, P. Greco, A. Romeo, and M. Di Mauro Echocardiographically based treatment of chronic ischemic mitral regurgitation J. Thorac. Cardiovasc. Surg., May 1, 2011; 141(5): 1150 - 1156.e1. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Calafiore, A. L. Iaco, D. Amata, C. Castello, E. Varone, F. Falconieri, A. Bivona, S. Gallina, and M. Di Mauro Left ventricular surgical restoration for anteroseptal scars: Volume versus shape J. Thorac. Cardiovasc. Surg., May 1, 2010; 139(5): 1123 - 1130. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Pocar, A. Di Mauro, D. Passolunghi, A. Moneta, A. M. T. A. Alsheraei, A. Bregasi, R. Mattioli, and F. Donatelli Predictors of adverse events after surgical ventricular restoration for advanced ischaemic cardiomyopathy Eur J Cardiothorac Surg, May 1, 2010; 37(5): 1093 - 1100. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. Buckberg and The RESTORE Group Surgical planning for surgical ventricular restoration involves decision options on form versus disease Eur J Cardiothorac Surg, May 1, 2010; 37(5): 1100 - 1103. [Full Text] [PDF]
|
|
|
|
|
|
V. Dor, F. Civaia, C. Alexandrescu, and F. Montiglio The post-myocardial infarction scarred ventricle and congestive heart failure: the preeminence of magnetic resonance imaging for preoperative, intraoperative, and postoperative assessment. J. Thorac. Cardiovasc. Surg., December 1, 2008; 136(6): 1405 - 1412. [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Calafiore, A. L. Iaco, M. Contini, A. Bivona, E. Varone, P. Greco, and S. Scandura Mitral Valve Repair for Ischemic Mitral Regurgitation Angiology, August 1, 2008; 59(2_suppl): 89S - 92S. [Abstract] [PDF]
|
|
|
|
|
|
T. Ota, T. W. Gilbert, S. F. Badylak, D. Schwartzman, and M. A. Zenati Electromechanical characterization of a tissue-engineered myocardial patch derived from extracellular matrix J. Thorac. Cardiovasc. Surg., April 1, 2007; 133(4): 979 - 985. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Calafiore, M. Di Mauro, A. L. Iaco, V. Mazzei, G. Teodori, S. Gallina, L. Weltert, M. Samoun, and G. Di Giammarco Overreduction of the Posterior Annulus in Surgical Treatment of Degenerative Mitral Regurgitation Ann. Thorac. Surg., April 1, 2006; 81(4): 1310 - 1316. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. Buckberg and the RESTORE Group Form versus disease: optimizing geometry during ventricular restoration Eur J Cardiothorac Surg, April 1, 2006; 29(Supplement_1): S238 - S244. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Isomura, T. Horii, H. Suma, G. D. Buckberg, and the RESTORE Group Septal anterior ventricular exclusion operation (Pacopexy) for ischemic dilated cardiomyopathy: treat form not disease Eur J Cardiothorac Surg, April 1, 2006; 29(Supplement_1): S245 - S250. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Torrent-Guasp, M. J. Kocica, A. F. Corno, M. Komeda, F. Carreras-Costa, A. Flotats, J. Cosin-Aguillar, and H. Wen Towards new understanding of the heart structure and function Eur J Cardiothorac Surg, February 1, 2005; 27(2): 191 - 201. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Calafiore, M. Di Mauro, A. L. Iaco, L. Weltert, and C. Di Lorenzo Septal reshaping MMCTS, January 1, 2005; 2005(0324): mmcts.2004.000505 - mmcts.2004.000505. [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 |
