PMID- 1502924
OWN - NLM
STAT- MEDLINE
DCOM- 19920911
LR  - 20171006
IS  - 0386-300X (Print)
IS  - 0386-300X (Linking)
VI  - 46
IP  - 3
DP  - 1992 Jun
TI  - Effect of left atrial plication for the giant left atrium on left ventricular 
      function.
PG  - 189-93
AB  - Left atrial plication (LAP) following Kawazoe's method was performed on eight 
      patients with mitral valve stenosis associated with a giant left atrium. To 
      investigate the effect of LAP particularly on left ventricular function, the 
      preoperative and postoperative left ventricular function in these patients were 
      compared. The data were also compared to that of the non-left atrial plication 
      (non-LAP) group with left atrial dimension of 60 mm or over. In the LAP group, 
      there were significant differences between preoperative and postoperative data in 
      the following parameters; New York Heart Association (NYHA) class, cardiothoracic 
      ratio, mean pulmonary arterial pressure (PAP), left ventricular end-diastolic 
      pressure (LVEDP), left atrial dimension, stroke volume index, ejection fraction 
      and cardiac index. On the contrary, in the non-LAP group, there were significant 
      differences between preoperative and post-operative data in the following two 
      factors; NYHA class and PAP. The size of the left atrium in the non-LAP group 
      remained unchanged over the course of long-term follow-up. Despite severe 
      clinical symptoms and severely reduced cardiac function of the patients in the 
      LAP group, cardiac function in all patients improved satisfactorily. This 
      suggests that left atrial plication has a considerably beneficial effect on left 
      ventricular function, and therefore, may be recommended for patients with a giant 
      left atrium.
FAU - Shigenobu, M
AU  - Shigenobu M
AD  - Department of Cardiovascular Surgery, Okayama University Medical School, Japan.
FAU - Takagaki, M
AU  - Takagaki M
FAU - Kohmoto, T
AU  - Kohmoto T
FAU - Okada, T
AU  - Okada T
FAU - Senoo, Y
AU  - Senoo Y
FAU - Komoto, Y
AU  - Komoto Y
FAU - Teramoto, S
AU  - Teramoto S
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - Acta Med Okayama
JT  - Acta medica Okayama
JID - 0417611
SB  - IM
MH  - Adult
MH  - Female
MH  - Heart Atria/*pathology/surgery
MH  - Hemodynamics
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Stenosis/surgery
MH  - *Ventricular Function, Left
EDAT- 1992/06/01 00:00
MHDA- 1992/06/01 00:01
CRDT- 1992/06/01 00:00
PHST- 1992/06/01 00:00 [pubmed]
PHST- 1992/06/01 00:01 [medline]
PHST- 1992/06/01 00:00 [entrez]
AID - 10.18926/AMO/32667 [doi]
PST - ppublish
SO  - Acta Med Okayama. 1992 Jun;46(3):189-93. doi: 10.18926/AMO/32667.