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Ann Thorac Surg 2000;70:2185
© 2000 The Society of Thoracic Surgeons

Correspondence

Myocardial infarction after partial left ventriculectomy: Reply

Patricia M. Cury, MDa, Maria de Lourdes Higuchi, MDa, Paulo S. Gutierrez, MDa, Luiz Felipe P. Moreira, MDa

a Laboratorio de Anatomia Patologica, Heart Institute, University of São Paulo School of Medicine, Av Dr Eneas C. Aguiar 44, 05403-00 São Paulo, Brazil

e-mail: pmcury{at}hotmail.com

To the Editor

We thank Drs Misawa, Fuse, and Konishi for their comments. In agreement with them, we also consider that other causes, besides infarction of papillary muscles, may be involved in bad outcome after partial left ventriculectomy. For example, recent studies carried out at our hospital (Heart Institute, University of São Paulo School of Medicine) have shown that mean myocardial fiber diameter greater than 22 µm [1, 2] and the presence of apoptosis [3] are indicators of poor outcome after such surgical procedure.

References

  1. Stolf N.A.G., Moreira L.F.P., Bocchi E.A., et al. Determinants of midterm outcome of partial left ventriculectomy in dilated cardiomyopathy. Ann Thorac Surg 1998;66:1585-1591.[Abstract/Free Full Text]
  2. Higuchi ML, Moreira LFP, Silvestre JML, et al. Myocardial fiber diameter as a good indicator of outcome in Batista’s operation. J Cardiac Surg 2000; in press.
  3. Higuchi M.L., Bocchi E.A., Chaves M.F., et al. Positive correlation between apoptosis of myocardial fibres and bad outcome after partial left ventriculectomy. Eur Heart J 1999;20(Suppl):86.

Related Article

Myocardial infarction after partial left ventriculectomy
Yoshio Misawa, Katsuo Fuse, and Hiroaki Konishi
Ann. Thorac. Surg. 2000 70: 2185. [Extract] [Full Text] [PDF]




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