PMID- 12757337
OWN - NLM
STAT- MEDLINE
DCOM- 20030910
LR  - 20190922
IS  - 0886-0440 (Print)
IS  - 0886-0440 (Linking)
VI  - 18
IP  - 2
DP  - 2003 Mar-Apr
TI  - Surgical treatment of post infarction left ventricular aneurysms: our experience 
      with double breasting and Dor's repair.
PG  - 114-20
AB  - BACKGROUND: This is a retrospective study of left ventricle (LV) aneurysm repair 
      done at the Escorts Heart Institute and Research Centre, New Delhi, since October 
      1988. Two methods of LV aneurysm repair are practiced: double breasting (DB) and 
      Dor's repair. The method varies with location, size, and extent of aneurysm and 
      quality of the fibrotic wall of the aneurysm. METHODS: Between October 1988 and 
      May 2001, 129 patients underwent LV aneurysm repair using one of the two 
      techniques; 78 patients had Dor's repair while 51 patients had DB repair. 
      RESULTS: Overall mortality was 2.3% (three patients). One patient died in the DB 
      group, and two patients died in the Dor's repair group. Mean preoperative 
      ejection fraction (EF) after surgery in DB was 31% while in Dor's repair it was 
      29.2%. EF showed improvement after surgery to 48.5% in DB and 46.6% in Dor's 
      repair. Decrease in end-diastolic volume (EDV) in DB was from 146 to 91.4 cm3/m2, 
      and in Dor's repair it was from 156 cm3/m2 to 88.6 cm3/m2. Decrease in 
      end-systolic volume was from 101 cm3/m2 to 60.2 cm3/m2 in DB and from 109 cm3/m2 
      to 64.5 cm3/m2 in Dor's group. All of these values showed statistically 
      significant improvement. At six months postoperatively, 83 patients (74.1%) out 
      of 112 patients who were preoperatively in New York Heart Association (NYHA) 
      Functional Classes III and IV improved to class II while 7 patients (6.3%) 
      improved to class I. CONCLUSION: In our experience Dor's repair is indicated for 
      anteroseptal and apical isolated posterior aneurysm to restore LV volume and 
      geometry while DB is indicated for apical, anterolateral, and lateral aneurysms 
      where septal involvement is less. These two techniques have definite indications 
      and advantages with good results.
FAU - Trehan, Naresh
AU  - Trehan N
AD  - Escorts Heart Institute and Research Centre, New Delhi, India.
FAU - Kohli, Vijay
AU  - Kohli V
FAU - Meharwal, Zile Singh
AU  - Meharwal ZS
FAU - Mishra, Yugal
AU  - Mishra Y
FAU - Sharma, Vijay Kumar
AU  - Sharma VK
FAU - Mishra, Manisha
AU  - Mishra M
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cardiac Surgical Procedures/*methods/*mortality
MH  - *Cause of Death
MH  - Cohort Studies
MH  - Echocardiography, Doppler
MH  - Female
MH  - Heart Aneurysm/diagnostic imaging/etiology/mortality/*surgery
MH  - Heart Function Tests
MH  - Heart Ventricles/*surgery
MH  - Hemodynamics
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*complications/diagnosis
MH  - Postoperative Complications/*mortality
MH  - Postoperative Period
MH  - Probability
MH  - Prognosis
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Survival Rate
MH  - Treatment Outcome
MH  - Ventricular Function, Left
EDAT- 2003/05/22 05:00
MHDA- 2003/09/11 05:00
CRDT- 2003/05/22 05:00
PHST- 2003/05/22 05:00 [pubmed]
PHST- 2003/09/11 05:00 [medline]
PHST- 2003/05/22 05:00 [entrez]
AID - 10.1046/j.1540-8191.2003.02010.x [doi]
PST - ppublish
SO  - J Card Surg. 2003 Mar-Apr;18(2):114-20. doi: 10.1046/j.1540-8191.2003.02010.x.