SavedAdd your journal

Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2005 / Cilt: 13 - Sayı: 4

Surgical treatment of left ventricular aneurysms with an endoventricular pericardial patch (Endoaneurysmorrhaphy): Early clinical results

Sol ventrikül anevrizmalarının tedavisinde endoventriküler perikardiyal yama (Endoanevrizmorafi) yöntemi: Erken dönem klinik sonuçlar

Bahadır DAĞLAR
Haşim ÜSTÜNSOY
Hakkı KAZAZ
Ekrem BAYAR
Mehmet Adnan CELKAN
Cem ATİK
Pages
325–328
Publication Date
2022-09-02
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

No mortality occurred in the late follow-up.Conclusion: Endoaneurysmorrhaphy with the use of an endoventricular pericardial patch is a safe procedure in the treatment of left ventricular aneurysms.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background: We evaluated the short-term results of endoaneurysmorrhaphy with the use of an endoventricular pericardial patch in patients with a left ventricular aneurysm.
📊
Key Findings & Data:Methods: We studied 32 patients (23 men, 9 women; mean age 58.1±11.1 years; range 48-75 years) who underwent endoaneurysmorrhaphy between 2001 and 2004.
💡
Conclusion & Impact:No mortality occurred in the late follow-up.Conclusion: Endoaneurysmorrhaphy with the use of an endoventricular pericardial patch is a safe procedure in the treatment of left ventricular aneurysms.
🔬Design:Research Article
📍Scope:2001 Verileri
⚙️Variables:Domain Parameters

Abstract

Background: We evaluated the short-term results of endoaneurysmorrhaphy with the use of an endoventricular pericardial patch in patients with a left ventricular aneurysm. Methods: We studied 32 patients (23 men, 9 women; mean age 58.1±11.1 years; range 48-75 years) who underwent endoaneurysmorrhaphy between 2001 and 2004. Preoperative, postoperative and early operative results and echocardiographies were analyzed.Results: The mean preoperative NYHA (New York Heart Association) class improved from 2.9±0.4 to 2.4±0.6. The mean ejection fraction improved from preoperative 33.2±6.7% to 38.3±0.8% in the early postoperative period, and to 41.6±4.5% in the postoperative sixth month. Perioperative mortality was seen in two patients (6.2%). No mortality occurred in the late follow-up.Conclusion: Endoaneurysmorrhaphy with the use of an endoventricular pericardial patch is a safe procedure in the treatment of left ventricular aneurysms.

Özet

Amaç: Sol ventrikül anevrizmalı hastalarda uygulanan endoventriküler perikardiyal yama yöntemi ve erken dönem sonuçları değerlendirildi. Çalışma planı: 2001-2004 yılları arasında endoanevrizmorafi uygulanan 32 hasta (23 erkek, 9 kadın; ort. yaş 58.1±11.1; dağılım 48-75) çalışmaya alındı. Demografik özellikler, ameliyat sonrası erken ve orta dönem takip sonuçları ve yıllık ekokardiyografi sonuçları değerlendirildi.Bulgular: Ameliyat öncesi NYHA (New York Heart Association) sınıf ortalaması 2.9±0.4’den ameliyat sonrası 2.4±0.6’ya geriledi. Ameliyat öncesi ejeksiyon fraksiyonu (EF) %33.2±6.7’den erken dönemde 38.3±0.8’e yükseldi. Altıncı ayda yapılan kontrol ekolarında EF’nin %41.6±4.5’e yükseldiği saptandı. Ameliyat mortalitesi iki hastayla %6.2 olarak gerçekleşti. Geç dönemde mortalite görülmedi.Sonuç: Bulgularımız, sol ventrikül anevrizmalarında endoventriküler perikardiyal yama (endoanevrizmorafi) yönteminin güvenle uygulanabileceğini göstermektedir.

🔖

Cite This Article

DAĞLAR, B., ÜSTÜNSOY, H., KAZAZ, H., BAYAR, E., CELKAN, M. A., ATİK, C. (2022). Surgical treatment of left ventricular aneurysms with an endoventricular pericardial patch (Endoaneurysmorrhaphy): Early clinical results. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 13 - Sayı: 4, 325–328. https://ajindex.com/articles/425250

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Watson RD, Gibbs CR, Lip GY. ABC of heart failure. Clinical features and complications. BMJ 2000;320:236-9
  2. Jatene AD. Left ventricular aneurysmectomy. Resection or reconstruction. J Thorac Cardiovasc Surg 1985;89:321-31
  3. Cooley DA. Ventricular endoaneurysmorrhaphy: a simplified repair for extensive postinfarction aneurysm! J Card Surg 1989;4:200-5
  4. Dor V, Saab M, Coste P, Kornaszewska M, Montiglio F. Left ventricular aneurysm: a new surgical approach. Thorac Cardiovasc Surg 1989;37:ll-9
  5. Calafiore AM, Mauro MD, Di Giammarco G, Gallina S, Iaco AL, Contini M, et al. Septal reshaping for exclusion of anteroseptal dyskinetic or akinetic areas. Ann Thorac Surg 2004;77:2115-21
  6. Mickleborough LL, Maruyama H, Liu P, Mohamed S. Results of left ventricular aneurysmectomy with a tailored scar excision and primary closure technique. J Thorac Cardiovasc Surg 1994; 107:690-8
  7. Dor V, Sabatier M, Di Donato M, Montiglio F, Toso A, Maioli M. Efficacy of endoventricular patch plasty in large postinfarction akinetic scar and severe left ventricular dys function: comparison with a series of large dyskinetic scars. J Thorac Cardiovasc Surg 1998; 116:50-9
  8. Menicanti L, Di Donato M. The Dor procedure: what has changed after fifteen years of clinical practice? J Thorac Cardiovasc Surg 2002; 124:886-90
  9. Gaudron P, Kugler L, Hu K, Fraccarollo D, Bauer W, Eilles C, et al. Effect of quinapril initiated during progressive remodeling in asymptomatic patients with healed myocardial infarction. Am J Cardiol 2000;86:139-44
  10. Calafiore AM, Di Mauro M, Contmı M, Vıtolla G, Pelini P. Left ventricular volume reduction for dilated cardiomyopa thy. In: Franco KL, Verrier ED, editors. Advanced therapy in cardiac surgery. London: BC Decker; 2003. p. 415-30
  11. Ingels NB Jr. Myocardial fiber architecture and left ventricu lar function. Technol Health Care 1997;5:45-52
  12. Mickleborough LL, Merchant N, Provost Y, Carson S, Ivanov J. Ventricular reconstruction for ischemic cardiomy opathy. Ann Thörac Surg 2003;75(6 Suppl):S6-12
  13. Shapira OM, Davidoff R, Hilkert RJ, Aldea GS, Fitzgerald CA, Shemin RJ. Repair of left ventricular aneurysm: long term results of linear repair versus endoaneurysmorrhaphy. Ann Thorac Surg 1997;63:701-5
  14. Suzer K, Yorgancioglu C, Gunaydin S, Tokmakoglu H, Tezcaner T. Surgical management of left ventricular aneurysms by endoventricular pericardial patch plasty. Cardiovasc Surg 2002; 10:216-21
  15. McCarthy PM, Quader M, Hoercher KJ. Evol