PMID- 10870002
OWN - NLM
STAT- MEDLINE
DCOM- 20000727
LR  - 20130520
IS  - 1341-1098 (Print)
IS  - 1341-1098 (Linking)
VI  - 6
IP  - 2
DP  - 2000 Apr
TI  - Experiential assessment of endoventricular circular patch plasty in patients with 
      depressed left ventricular function due to ischemia.
PG  - 95-9
AB  - A concept of volume reduction surgery for patients with end-stage dilated 
      cardiomyopathy was introduced to the surgical aspect. We started consequently to 
      employ this operation for patients with ischemic cadiomyopathy. Between October 
      1997 and April 1999, 14 patients (mean age 64 years; 12 men, 2 women) underwent 
      endoventricular circular patch plasty (EVCPP) in our institute. TECHNIQUE: The 
      left ventricle (LV) is opened by placing an incision parallel to the left 
      anterior descending (LAD) coronary artery. An endocardial purse-string suture is 
      placed circumferentially at the root of the posterior papillary muscle. The 
      remaining opening of the cavity is closed with a circular bovine pericardial 
      patch. The excluded edges of LV free wall and septum are directly closed with 
      felt strips. RESULTS: There were no significant hemodynamic differences in heart 
      rate, cardiac index and pulmonary capillary wedge pressure before and after the 
      operation. Either LV end-diastolic volume index (from 134.8 +/- 30.7 to 77.1 +/- 
      16.3 ml/m2) or LV end-systolic volume index (from 85.0 +/- 21.8 to 40.0 +/- 12.5 
      ml/m2) definitely reduced postoperatively, the LV ejection fraction (EF), 
      consequently, significantly improved from 0.31 +/- 0. 09 to 0.48 +/- 0.10 
      (p=0.0007). In all patients the New York Heart Association (NYHA) functional 
      class improved from 2.8 +/- 0.7 to 1.3 +/- 0.5 after operation. We will 
      aggressively employ this procedure for patients with ischemic cardiomyopathy in 
      consideration of the limitations of the efficacy and the indication of this 
      operation.
FAU - Kondo, K
AU  - Kondo K
AD  - Department of Thoracic and Cardiovascular Surgery, Osaka Medical College, 2-7 
      Daigaku-cho, Takatsuki 569-8686, Japan.
FAU - Sawada, Y
AU  - Sawada Y
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Japan
TA  - Ann Thorac Cardiovasc Surg
JT  - Annals of thoracic and cardiovascular surgery : official journal of the 
      Association of Thoracic and Cardiovascular Surgeons of Asia
JID - 9703158
SB  - IM
MH  - Aged
MH  - Cardiomyoplasty/*methods
MH  - Cardiopulmonary Bypass
MH  - Coronary Angiography
MH  - Coronary Artery Bypass
MH  - Echocardiography
MH  - Female
MH  - Heart Rate
MH  - Heart Ventricles/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Ischemia/*complications/diagnosis/physiopathology/surgery
MH  - Pulmonary Wedge Pressure
MH  - Retrospective Studies
MH  - Stroke Volume
MH  - Treatment Outcome
MH  - Ventricular Dysfunction, Left/diagnosis/etiology/physiopathology/*surgery
EDAT- 2000/06/28 11:00
MHDA- 2000/08/01 11:00
CRDT- 2000/06/28 11:00
PHST- 2000/06/28 11:00 [pubmed]
PHST- 2000/08/01 11:00 [medline]
PHST- 2000/06/28 11:00 [entrez]
PST - ppublish
SO  - Ann Thorac Cardiovasc Surg. 2000 Apr;6(2):95-9.