PMID- 21923033
OWN - NLM
STAT- MEDLINE
DCOM- 20120412
LR  - 20110919
IS  - 1002-1892 (Print)
IS  - 1002-1892 (Linking)
VI  - 25
IP  - 8
DP  - 2011 Aug
TI  - [Left ventricular reconstruction in patients with left ventricular aneurysm after 
      myocardial infarction].
PG  - 998-1000
AB  - OBJECTIVE: To discuss left ventricular reconstruction methods and effectiveness 
      in patients with left ventricular aneurysm after myocardial infarction. METHODS: 
      Between June 2003 and August 2008, 23 patients with left ventricular aneurysm 
      after myocardial infarction were treated. Of them, 13 were male and 10 were 
      female with an average age of 61.2 years (range, 47-74 years). According to New 
      York Heart Association (NYHA) criteria for cardiac function, there were 3 cases 
      of grade I, 6 cases of grade II, 10 cases of grade III, and 4 cases of grade IV. 
      The coronary arteriography showed single-vessel disease in 2 cases, double-vessel 
      disease in 5 cases, triple-vessel disease in 16 cases. The locations of 
      ventricular aneurysm were the apex cordis in 18 cases, antetheca and 
      parieslateralis in 4 cases, and interior wall in 1 case. The left ventricular 
      ejection fraction was 36.52% +/- 12.15%, and left ventricular diastolic final 
      diameter was (62.30 +/- 6.52 ) mm. Nine patients received standard linear repair, 
      6 patients received standard linear repair after endocardial ring shrinkage, and 
      8 patients received patch suture after endocardial ring shrinkage. RESULTS: Two 
      cases died perioperatively, and re-thoracotomy was performed to stop bleeding in 
      1 case. Incisions healed by first intention in the other patients without early 
      complication. Twenty-one patients were followed up 7-48 months (median, 19 
      months). At 6 months after surgery, the left ventricular ejection fraction 46.52% 
      +/- 9.41% were significantly improved when compared with that at preoperation (t 
      = 2.240, P = 0.023); the left ventricular diastolic final diameter (52.23 +/- 
      5.11) mm were significantly decreased when compared with that at preoperation (t 
      = 2.170, P = 0.035). The cardiac function according to NYHA criteria was at grade 
      I in 8 cases and at grade II in 13 cases. One patient died of cerebral hemorrhage 
      at 18 months after operation and the activities of daily living recoverd in the 
      others. CONCLUSION: Individual therapeutic methods are used according to 
      patients' different conditions for left ventricular aneurysm after myocardial 
      infarction.
FAU - Wang, Qiang
AU  - Wang Q
AD  - Cardiothoracic Surgery, Affiliated Drum Tower Hospital of Nanjing University 
      Medical School, Nanjing Jiangsu 210008, PR China.
FAU - Xu, Li
AU  - Xu L
FAU - Wang, Dongjin
AU  - Wang D
LA  - chi
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - China
TA  - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
JT  - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = 
      Chinese journal of reparative and reconstructive surgery
JID - 9425194
SB  - IM
MH  - Aged
MH  - Cardiac Surgical Procedures/*methods
MH  - Female
MH  - Heart Aneurysm/complications/*surgery
MH  - Heart Ventricles/pathology/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/complications/*surgery
EDAT- 2011/09/20 06:00
MHDA- 2012/04/13 06:00
CRDT- 2011/09/20 06:00
PHST- 2011/09/20 06:00 [entrez]
PHST- 2011/09/20 06:00 [pubmed]
PHST- 2012/04/13 06:00 [medline]
PST - ppublish
SO  - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011 Aug;25(8):998-1000.