Late Results of Endoventricular Patch Plasty Repair in Akinetic and Dyskinetic Areas After Acute Myocardial Infarction
| Autor: | Lucas Maynard Lovato, Renato A. K. Kalil, Ivo A. Nesralla, Homsi Neto A, Prates Pr, Luis Maria Yordi, Teiseira Gf, Sant'Anna |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male hemodynamic assessment lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty ventricular aneurysm Heart Ventricles Myocardial Infarction Disease-Free Survival Ventricular Dysfunction Left Myocardial Revascularization Humans Medicine Postoperative Period Myocardial infarction Heart Aneurysm End-systolic volume Aged Ejection fraction business.industry Mortality rate Hemodynamics ventricular dysfunction Middle Aged medicine.disease Late results Ventricular aneurysm Surgery Cardiac surgery Treatment Outcome lcsh:RC666-701 End-diastolic volume Female Cardiology and Cardiovascular Medicine business cardiac surgery |
| Zdroj: | Arquivos Brasileiros de Cardiologia v.79 n.2 2002 Arquivos Brasileiros de Cardiologia Sociedade Brasileira de Cardiologia (SBC) instacron:SBC Arquivos Brasileiros de Cardiologia, Volume: 79, Issue: 2, Pages: 112-116, Published: AUG 2002 Arquivos Brasileiros de Cardiologia, Vol 79, Iss 2, Pp 112-116 (2002) |
| ISSN: | 0066-782X |
| DOI: | 10.1590/s0066-782x2002001100002 |
| Popis: | OBJECTIVE - To assess the surgical results of endoventricular patch plasty repair in akinetic and dyskinetic left ventricular areas. METHODS - We studied 52 patients who had undergone endoventricular patch plasty repair associated with myocardial revascularization. The preoperative functional class distribution was as follows: class I in 1 (1.9%) patient; class II in 2 (3.8%) patients; class III in 23 (44.2%) patients; and class IV in 26 (50%) patients. RESULTS - The immediate mortality rate was 7.6% (4 patients). The clinical outcome of 44 patients followed up within a mean postoperative time of 29±25 months was as follows: class I in 33 (75%) patients; class II in 7 (15.9%) patients; class III in 2 (4.5%) patients; and class IV in 2 (4.5%) patients. Comparison between pre- and postoperative catheterization in 21 patients showed that the ejection fraction increased from 46.3% to 51.3% (p=0. 17); the left ventricular systolic volume decreased from 76.4 mL to 57.5 mL, (p=0.078); and the left ventricular diastolic volume decreased from 141.2 mL to 105.8 mL (p=0.0 73). These findings showed the tendency toward improvement, but with nonsignificant results. CONCLUSION - The technique proved to be effective, to have a low mortality rate, to cause significant clinical improvement, an increase in ejection fraction, and a reduction in left ventricular volumes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|