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A more comprehensive left ventricular repair for severely dilated cardiomyopathy.
- Source :
-
Journal of cardiac surgery [J Card Surg] 2006 Jan-Feb; Vol. 21 (1), pp. 62-4; discussion 65. - Publication Year :
- 2006
-
Abstract
- We report a patient with cardiogenic shock due to severely dilated cardiomyopathy who underwent complex, but comprehensive left ventricle (LV) repair. Preoperative investigation showed marked LV dilatation, poor LV function, severe mitral and tricuspid regurgitation, and total occlusion of two coronary arteries. We urgently performed (1) modified Batista operation which preserves the LV apex, (2) septal anterior ventricular exclusion (SAVE) operation, (3) mitral annuloplasty, (4) tricuspid annuloplasty, and (5) coronary bypass. Postoperative evaluation revealed good graft flow, reduced LV dimension preserving the elliptical shape, improved LV function, and minimal MR. Twenty-six months postoperatively, the patient has minimum clinical symptoms (NYHA: I).
- Subjects :
- Cardiomyopathy, Dilated diagnostic imaging
Cardiomyopathy, Dilated physiopathology
Heart Ventricles diagnostic imaging
Heart Ventricles physiopathology
Humans
Male
Middle Aged
Radiography
Stroke Volume
Suture Techniques
Ventricular Function, Left physiology
Cardiac Surgical Procedures methods
Cardiomyopathy, Dilated surgery
Heart Ventricles surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0886-0440
- Volume :
- 21
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of cardiac surgery
- Publication Type :
- Academic Journal
- Accession number :
- 16426350
- Full Text :
- https://doi.org/10.1111/j.1540-8191.2006.00170.x