PMID: 15368802Sep 17, 2004Paper

Long-term follow-up of patients undergoing isolated partial left ventriculectomy

Acta Cardiologica
R B Bestetti

Abstract

This study aimed at providing a 6-year follow-up of patients undergoing partial left ventriculectomy because the long-term clinical course of patients who undergo this procedure is unknown. From February 1995 to October 1997, 14 consecutive patients underwent partial left ventriculectomy at our institution. Surviving patients were followed as of February 2001. Partial left ventriculectomy was performed on a beating heart without cardioplegia. Neither coronary revascularization nor mitral valve surgery were performed in any patient. Mean age of patients was 48 +/- 12 years. Before the procedure, all patients were in New York Heart Association functional class (NYHA) IV. Seven (50%) patients were operated on inotropic support. On echocardiography, mean left ventricular diastolic dimension was 81.7 +/- 11.9 mm. Mean left ventricular ejection fraction was 16.7 +/- 5.2%. Four (28%) patients died in the postoperative period. Of the 10 surviving patients, 6 (60%) died during the first year of follow-up: 3 died suddenly, 2 of cardiogenic shock precipitated by infection, and 1 of intractable arrhythmia associated with gastrointestinal haemorrhage. At 2-year follow-up, 1 patient died of cerebrovascular accident, whereas another patient d...Continue Reading

Citations

Aug 19, 2007·The Journal of General Physiology·Fabiana V CamposFrancisco Bezanilla

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