Changes in Left Ventricular Morphology and Function in End-Stage Dilated Cardiomyopathy After Reductive Annuloplasty of Double Mitral and Tricuspid Orifices
| Autor: | N. Radovanovic, M. Popov, D. Uscumlic-Kovacevic, V. Torbica, Bogoljub Mihajlovic, M. Kovac, S. Nicin, M. Zorc, L.J. Petrovic |
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| Rok vydání: | 2002 |
| Předmět: |
Cardiomyopathy
Dilated Male Pulmonary and Respiratory Medicine Extracorporeal Circulation medicine.medical_specialty Heart Ventricles Hemodynamics Ventricular Function Left Both ventricles Ventricular morphology Internal medicine Humans Medicine Decompensation Stage (cooking) Mitral Annuloplasty Ejection fraction business.industry Mitral Valve Insufficiency Stroke Volume Dilated cardiomyopathy Middle Aged medicine.disease Tricuspid Valve Insufficiency Surgery Treatment Outcome cardiovascular system Cardiology Mitral Valve Female Tricuspid Valve Cardiology and Cardiovascular Medicine business Echocardiography Transesophageal |
| Zdroj: | Journal of Cardiac Surgery. 17:201-204 |
| ISSN: | 1540-8191 0886-0440 |
| DOI: | 10.1111/j.1540-8191.2002.tb01200.x |
| Popis: | Background and aim: The aim of this study is to show the changes in left ventricular morphology and function after reductive annuloplasty of double mitral and tricuspid orifices (RADO) in ischemic dilated cardiomyopathy (IDCM) and primary dilated cardiomyopathy (PDCM) analyzed by intraoperative transesophageal echocardiography (TEE). Methods: There were 274 patients, mean age 50.1 years, 188 operated due to IDCM with ejection fraction under 30%, and 86 patients due to PDCM. Mitral annuloplasty according to A. Carpentier and our own procedure was done in 49 and 225 patients, respectively. In 265 cases (97%) our modified De Vega's tricuspid annuloplasty was performed. Results: Conclusion: RADO significantly changes left ventricular morphology, reverses remodeling of the heart, decreases sphericity of the left heart, improves hemodynamic function of both ventricles, and slows down progression of cardiac failure. We recommend RADO in the early stage of PDCM, immediately after the first decompensation, and as an important associated procedure in IDCM. |
| Databáze: | OpenAIRE |
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