PMID- 15828250
OWN - NLM
STAT- MEDLINE
DCOM- 20050422
LR  - 20161124
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 58
IP  - 4
DP  - 2005 Apr
TI  - [Overlapping ventriculoplasty for ischemic cardiomyopathy].
PG  - 300-6
AB  - We have previously reported overlapping cardiac volume reduction operation 
      (OLCVR) for dilated cardiomyopathy. Because of the acceptable clinical outcome 
      and especially the excellent ellipsoidal shape of the left ventricle (LV) after 
      surgery, we extended this indication for ischemic cardiomyopathy (ICM) with 
      dilated LV. In such cases we combined OLCVR with mitral annuloplasty and 
      papillary muscles approximation (PMA), called integrated overlapping 
      ventriculoplasty (IOLVP). From March 2003 to July 2004, we performed IOLVP with 
      coronary artery bypass grafting (CABG) for 8 patients who were diagnosed ICM. 
      There is no operative mortality. Pre- and postoperative hemodynamics data are 
      follows: LV ejection fraction (LVEF) improved from 22.4 +/- 11.9 to 33.4 +/- 
      10.5%, LV end-diastolic volume index (LVEDVI) decreased from 155.5 +/- 26.5 to 
      93.7 +/- 13.5 ml/m2 and LV end-diastolic diameter (LVDd) diminished from 66.0 +/- 
      8.9 to 60.5 +/- 8.4mm. Mitral regurgitation changed from 2.6 +/- 0.8 to 0.1 +/- 
      0.2 degree. New York Heart Association (NYHA) functional class improved from 3.3 
      +/- 0.5 to 1.3 +/- 0.5. LV shape became ellipsoidal without akinesis lesion. 
      IOLVP is considered as a good option for ICM with dilated left ventricle.
FAU - Yoshimoto, Kimihiro
AU  - Yoshimoto K
AD  - Department of Cardiovascular Surgery, NTT East Corporation Sapporo Hospital, 
      Sapporo, Japan.
FAU - Matsui, Y
AU  - Matsui Y
FAU - Fukada, Y
AU  - Fukada Y
FAU - Miyatake, T
AU  - Miyatake T
FAU - Yasuda, K
AU  - Yasuda K
LA  - jpn
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Aged
MH  - Cardiac Surgical Procedures/methods
MH  - Cardiomyopathy, Dilated/diagnostic imaging/*surgery
MH  - Coronary Artery Bypass
MH  - Echocardiography
MH  - Female
MH  - Heart Ventricles/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/complications
MH  - Myocardial Ischemia/diagnostic imaging/*surgery
MH  - Papillary Muscles/diagnostic imaging
MH  - Ventricular Function, Left
EDAT- 2005/04/15 09:00
MHDA- 2005/04/23 09:00
CRDT- 2005/04/15 09:00
PHST- 2005/04/15 09:00 [pubmed]
PHST- 2005/04/23 09:00 [medline]
PHST- 2005/04/15 09:00 [entrez]
PST - ppublish
SO  - Kyobu Geka. 2005 Apr;58(4):300-6.