PMID- 12767546
OWN - NLM
STAT- MEDLINE
DCOM- 20031030
LR  - 20190816
IS  - 0167-5273 (Print)
IS  - 0167-5273 (Linking)
VI  - 89
IP  - 2-3
DP  - 2003 Jun
TI  - Long-term results after partial left ventriculectomy.
PG  - 223-30
AB  - BACKGROUND: Long-term clinical, echocardiographic and hemodynamic effects after 
      partial left ventriculectomy (PLV) and predictors of outcome have been 
      determined. METHODS: Between January 1995 and July 1999, PLV was performed in 39 
      patients. In 15 patients the etiology of heart failure was idiopathic dilated 
      cardiomyopathy (DCMP), 19 patients had ischemic cardiomyopathy (ICMP) and five 
      patients had valvular cardiomyopathy. Concomitant procedures included coronary 
      artery bypass grafting in 16 patients, mitral valve repair in 33 patients and 
      aortic valve replacement in five patients. All patients belonged in New York 
      Heart Association (NYHA) functional class III or IV. Mean follow-up was 663+/-514 
      days. Clinical, echocardiographic and hemodynamic assessments and metabolic 
      stress testing were performed preoperatively, within 30 days postoperatively and 
      6, 12 and 24 months after the operation. RESULTS: Actuarial survival was 64% 
      after 1 year, 55% after 2 years and 44% 3 years after the operation. In patients 
      with ICMP as well as in patients with DCMP actuarial 1 year survival was 60%. At 
      2-year follow-up NYHA functional class was improved significantly (P<0.05), but 
      LV ejection fraction, LV end-diastolic diameter, cardiac index and peak oxygen 
      consumption did not differ significantly from preoperative values. Analysis of 
      factors influencing postoperative outcome indicated that decreased left 
      ventricular wall thickness and a failure to increase the stroke volume index as a 
      response to preoperative dobutamine administration were associated with 
      postoperative mortality. CONCLUSIONS: PLV is associated with considerable 
      postoperative mortality and lacking long-term improvement of cardiac performance.
FAU - Claus, Matthias
AU  - Claus M
AD  - Klinik fur Innere Medizin mit Schwerpunkt Kardiologie, Angiologie und Pulmologie, 
      Universitatsklinikum Charite, Campus Mitte, Humboldt-Universitat, Schumannstr. 
      20/21, D-10117, Berlin, Germany. matthias.claus@charite.de 
      <matthias.claus@charite.de>
FAU - Beling, Mark
AU  - Beling M
FAU - Grohmann, Andrea
AU  - Grohmann A
FAU - Borges, Adrian C
AU  - Borges AC
FAU - Baumann, Gert
AU  - Baumann G
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Int J Cardiol
JT  - International journal of cardiology
JID - 8200291
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cardiac Surgical Procedures/*methods/*mortality
MH  - Female
MH  - Heart Failure/diagnosis/mortality/*physiopathology/*surgery
MH  - Heart Ventricles/physiopathology/*surgery
MH  - Hemodynamics/physiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Predictive Value of Tests
MH  - Prospective Studies
MH  - Survival Analysis
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2003/05/28 05:00
MHDA- 2003/10/31 05:00
CRDT- 2003/05/28 05:00
PHST- 2003/05/28 05:00 [pubmed]
PHST- 2003/10/31 05:00 [medline]
PHST- 2003/05/28 05:00 [entrez]
AID - S016752730200503X [pii]
AID - 10.1016/s0167-5273(02)00503-x [doi]
PST - ppublish
SO  - Int J Cardiol. 2003 Jun;89(2-3):223-30. doi: 10.1016/s0167-5273(02)00503-x.