PMID- 19416619
OWN - NLM
STAT- MEDLINE
DCOM- 20090511
LR  - 20090506
IS  - 1603-6824 (Electronic)
IS  - 0041-5782 (Linking)
VI  - 171
IP  - 15
DP  - 2009 Apr 6
TI  - [Surgical left ventricle reconstruction for treatment of heart failure].
PG  - 1281-5
AB  - INTRODUCTION: Surgical ventricular reconstruction is an option for treatment of 
      heart failure elicited by left ventricular aneurism. The aim of this study was to 
      report the results of such treatment in our tertiary centre. MATERIAL AND 
      METHODS: From January 2002 through October 2007 surgical ventricular restoration 
      was performed in 26 patients (23 males) with a median age of 64 years (47-74 
      years). Twenty-one of the patients were in New York Heart Association (NYHA) 
      class III-IV. The median preoperative left ventricular ejection fraction was 27% 
      (13-38%). We collected both pre- and postoperative data retrospectively. RESULTS: 
      Eighty-five percent of the patients received additional operative procedures, in 
      most cases coronary artery bypass grafting. Ninety-six percent survived the 
      follow-up period which had a median duration of 392 days (1-1777). At follow-up 
      left ventricular ejection fraction had increased to 35% (18-53%) (p < 0.05) and 
      20 patients were in NYHA class I-II (p < 0.05). CONCLUSION: Surgical left 
      ventricular reconstruction is a feasible option for treatment of heart failure in 
      patients with post myocardial infarction aneurisms. In selected patients this 
      treatment carries a low mortality and results in improved left ventricular 
      function and functional capacity.
FAU - Funder, Jonas Amstrup
AU  - Funder JA
AD  - Arhus Universitetshospital, Skejby, Hjerte-lunge-karkirurgisk Afdeling.
FAU - Klaaborg, Kaj-Erik
AU  - Klaaborg KE
FAU - Egeblad, Henrik
AU  - Egeblad H
FAU - Molgaard, Henning
AU  - Molgaard H
FAU - Poulsen, Steen Hvitfeldt
AU  - Poulsen SH
FAU - Sloth, Erik
AU  - Sloth E
FAU - Wierup, Per
AU  - Wierup P
LA  - dan
PT  - English Abstract
PT  - Journal Article
TT  - Endoventrikulaer venstre ventrikel-rekonstruktion til behandling af 
      hjerteinsufficiens.
PL  - Denmark
TA  - Ugeskr Laeger
JT  - Ugeskrift for laeger
JID - 0141730
SB  - IM
MH  - Aged
MH  - Cardiac Surgical Procedures/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Aneurysm/complications/physiopathology/*surgery
MH  - Heart Failure/etiology/physiopathology/*surgery
MH  - Heart Ventricles/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Ventricular Function, Left/physiology
EDAT- 2009/05/07 09:00
MHDA- 2009/05/12 09:00
CRDT- 2009/05/07 09:00
PHST- 2009/05/07 09:00 [entrez]
PHST- 2009/05/07 09:00 [pubmed]
PHST- 2009/05/12 09:00 [medline]
AID - VP06080298 [pii]
PST - ppublish
SO  - Ugeskr Laeger. 2009 Apr 6;171(15):1281-5.