PMID- 12757338
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  - Left ventriculoplasty for nonischemic dilated cardiomyopathy.
PG  - 121-4
AB  - From December 1996 to May 2001, we have performed 82 cases of left 
      ventriculoplasty (LVP) for nonischemic dilated cardiomyopathy (DCM). Surgical 
      procedure was partial left ventriculectomy in 70 patients and septal anterior 
      ventricular exclusion in 12 patients with evaluation by utilizing intraoperative 
      echocardiography. There were 70 men and 12 women with a mean age of 49, varying 
      from 14 to 76. All patients had medically refractory heart failure with New York 
      Heart Association (NYHA) Functional Class III in 33 patients and NYHA IV in 49; 
      34 patients were supported by inotropic infusion prior to the operation. 
      Intra-aortic balloon pump (IABP) and left ventricle assist device (LVAD) were 
      used in 12 and 2 patients at perioperative period, respectively. Hospital 
      mortality was 8.2% in elective operation (5/61), 57.1% in emergency operation 
      (12/21), and 20.7% overall. One- and four-year survival rates were 75.5% and 
      69.3% in elective cases, 37.9% and 0 in emergency cases, and 64.7% and 3.6% 
      overall, respectively. Left ventricular (LV) ejection fraction increased from 
      22.3% to 29.0% at the time of surgery and has maintained around 33% up to two 
      years. LV diastolic dimension and LV end diastolic pressure decreased from 83.8 
      mm to 65.0 mm; from 31.7 mmHg to 22.0 mmHg have maintained around 70 mm and 22.1 
      mmHg up to two years, respectively. Over one year most of the survivors were 
      medically controlled within NYHA Class I-II. In conclusion, careful choice of 
      surgical procedure by utilizing intraoperative echocardiography enables left 
      ventriculoplasty to effectively treat severe heart failure with nonischemic 
      cardiomyopathy.
FAU - Horii, Taiko
AU  - Horii T
AD  - Hasama Heart Center, Hayama, Kanagawa, Japan. horii@hayamaheart.gr.jp
FAU - Isomura, Tadashi
AU  - Isomura T
FAU - Komeda, Masashi
AU  - Komeda M
FAU - Suma, Hisayoshi
AU  - Suma H
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Cardiac Surgical Procedures/*methods/mortality
MH  - Cardiomyopathy, Dilated/mortality/*pathology/*surgery
MH  - Cohort Studies
MH  - Female
MH  - Heart Function Tests
MH  - Heart Ventricles/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/mortality
MH  - Prognosis
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Severity of Illness Index
MH  - Survival Analysis
MH  - Treatment Outcome
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.1540-8191.2003.02004.x [doi]
PST - ppublish
SO  - J Card Surg. 2003 Mar-Apr;18(2):121-4. doi: 10.1046/j.1540-8191.2003.02004.x.