PMID: 11343953May 10, 2001Paper

Left ventricle restoration in patients with non-ischemic dilated cardiomyopathy: risk factors and predictors of outcome and change of mid-term ventricular function

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
T IsomuraK Hisatomi

Abstract

The partial left ventriculectomy (PLV) for end-stage dilated cardiomyopathy (DCM) which worked in some patients has been reported, although the hospital mortality is high. To reduce hospital mortality, we selected operative procedures of left ventricular (LV) restoration to improve the operative results. We analyzed the risk factors and predictors of outcome, and the mid-term changes of the LV function were determined. Between December 1996 and September 2000, 74 patients with non-ischemic DCM received LV restoration. The age ranged from 14 to 76 years (mean, 49.0+/-14.0 years), and there were 63 men and 11 women. The etiology of the DCM was idiopathic DCM in 49 patients, and dilated hypertrophic cardiomyopathy in seven patients and others in 18. The preoperative New York Heart Association (NYHA) functional class was 29 in class III and 45 in class IV, in which 32 patients depended on inotropic support. PLV or septal anterior ventricular exclusion (SAVE) was selected depending on the akinetic lesion of the LV based on the intraoperative echo-test. Fifty-six patients received elective operations, and emergency operations were performed in 18 patients. The risk factors and predictors of outcome were analyzed in 74 patients, and i...Continue Reading

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Citations

May 12, 2005·Heart Failure Reviews·Gerald Buckberg
May 12, 2005·Heart Failure Reviews·Hisayoshi SumaUNKNOWN RESTORE Group
Aug 7, 2004·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Masahito MinakawaKozo Fukui
May 7, 2011·General Thoracic and Cardiovascular Surgery·Tadashi Isomura
Apr 16, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tadashi IsomuraAtsushi Yuda
Nov 22, 2005·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Markus J WilhelmHans H Scheld
Jan 10, 2006·The Journal of Thoracic and Cardiovascular Surgery·Hiroshi IrieHisayoshi Suma Kanagawajapan
Sep 29, 2006·Asian Cardiovascular & Thoracic Annals·Masashi ToyamaYuichi Ueda
Sep 27, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Sak LeeKyung-Jong Yoo
Jul 1, 2006·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Sotirios N PrapasConstantinos E Anagnostopoulos
May 22, 2003·Journal of Cardiac Surgery·Taiko HoriiHisayoshi Suma
May 29, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Tadashi Isomura

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