PMID- 19763053
OWN - NLM
STAT- MEDLINE
DCOM- 20091112
LR  - 20120618
IS  - 2186-1005 (Electronic)
IS  - 1341-1098 (Linking)
VI  - 15
IP  - 4
DP  - 2009 Aug
TI  - Reconstructive surgery for an akinetic anterior ventricular wall in ischemic 
      cardiomyopathy.
PG  - 227-32
AB  - BACKGROUND: The purpose of this prospective study is to analyze the postoperative 
      outcome after only left ventricular reconstruction (LVR) versus LVR combined with 
      coronary artery bypass grafting (CABG) and/or mitral valve (MV) procedure in 
      ischemic cardiomyopathy (ICM) as a result of an akinetic anterior ventricular 
      wall. METHODS AND RESULTS: Nineteen patients underwent only LVR, and 37 underwent 
      a concomitant LVR procedure. In both groups, New York Heart Association (NYHA) 
      classification improved significantly from 3.5 +/- 0.6 to 2.2 +/- 0.5 (LVR group) 
      and 3.4 +/- 0.7 to 2.5 +/- 0.5 (combined LVR group). Ejection fraction improved 
      significantly from 25.1 +/- 3.2 to 35.3 +/- 4.5% in the LVR group and 28.1 +/- 
      2.2 to 37.6 +/- 5.5% in the combined LVR group. Cardiac index improved 
      significantly from 1.8 +/- 0.6 to 2.3 +/- 0.5 l/min/m2 in the LVR group and 1.6 
      +/- 0.4 to 2.2 +/- 0.6 l/min/m2 in the combined LVR group. An additional 
      concomitant procedure increased the mortality rate only slightly. The overall 1- 
      and 5-year actuarial survival rates were 90% and 75% in the LVR group and 80% and 
      70% in the combined LVR group. CONCLUSIONS: The LVR for akinetic ventricular wall 
      shows very satisfactory early and long-term results. The LVR, with or without 
      concomitant procedures, has considerable benefits for operative therapy.
FAU - Yoda, Masataka
AU  - Yoda M
AD  - Department of Thoracic and Cardiovascular Surgery, Heart Center 
      North-Rhine-Westphalia, Ruhr-University of Bochum, Germany.
FAU - Tenderich, Gero
AU  - Tenderich G
FAU - Zittermann, Armin
AU  - Zittermann A
FAU - Schulte-Eistrup, Sebastian
AU  - Schulte-Eistrup S
FAU - Al-Deili, Michaele
AU  - Al-Deili M
FAU - Korfer, Reiner
AU  - Korfer R
FAU - Minami, Kazutomo
AU  - Minami K
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Japan
TA  - Ann Thorac Cardiovasc Surg
JT  - Annals of thoracic and cardiovascular surgery : official journal of the 
      Association of Thoracic and Cardiovascular Surgeons of Asia
JID - 9703158
SB  - IM
MH  - *Cardiac Surgical Procedures/adverse effects/mortality
MH  - Cardiomyopathies/etiology/mortality/physiopathology/*surgery
MH  - Coronary Artery Bypass
MH  - Heart Ventricles/physiopathology/surgery
MH  - Humans
MH  - Mitral Valve/physiopathology/surgery
MH  - *Myocardial Contraction
MH  - Myocardial Ischemia/complications/mortality/physiopathology/*surgery
MH  - Prospective Studies
MH  - Recovery of Function
MH  - Stroke Volume
MH  - Time Factors
MH  - Treatment Outcome
MH  - Ventricular Dysfunction, Left/etiology/mortality/physiopathology/*surgery
EDAT- 2009/09/19 06:00
MHDA- 2009/11/13 06:00
CRDT- 2009/09/19 06:00
PHST- 2008/04/03 00:00 [received]
PHST- 2008/06/30 00:00 [accepted]
PHST- 2009/09/19 06:00 [entrez]
PHST- 2009/09/19 06:00 [pubmed]
PHST- 2009/11/13 06:00 [medline]
AID - atcs/2009_15_1/227 [pii]
PST - ppublish
SO  - Ann Thorac Cardiovasc Surg. 2009 Aug;15(4):227-32.