PMID- 22111342
OWN - NLM
STAT- MEDLINE
DCOM- 20120105
LR  - 20111124
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 64
IP  - 11
DP  - 2011 Oct
TI  - [Surgical ventricular restoration for ischemic cardiomyopathy].
PG  - 985-8
AB  - In this study, we demonstrated the mid-term result of surgical ventricular 
      restoration (SVR) for ischemic cardiomyopathy. Fifty-two patients (age 62 +/- 11 
      years) who underwent SVR between 2003 and 2010 were enrolled. Overlapping left 
      ventriculoplasty, papillary muscle approximation, and coronary artery bypass 
      grafting (CABG) were performed in 36 (69%), 39 (75%) and 46 (88%) patients, 
      respectively. Preoperatively, 45 (87%) patients presented New York Heart 
      Association (NYHA) class III/IV, whereas all patients presented NYHA I/III 
      postoperatively (P < 0.01). left ventricular (LV) end-systolic volume index 
      (LVESVI) and LV ejection fraction (LVEF) were improved postoperatively (LVESVI: 
      111 +/- 37 to 68 +/- 24, p < 0.01, LVEF : 30 +/- 9 to 37 +/- 11, p < 0.01). The 
      degree of mitral regurgitation (MR) was 3+ or more in 27 (52%) patients, whereas 
      50 (96%) presented 1+ or less postoperatively (P < 0.01). The 1-, 3-, and 5-year 
      survival rates were 90%. 83%, and 75%, respectively. Cox regression analysis 
      demonstrated that preoperative MR 4+ was the significant predictor of 
      postoperative death (P < 0.05, HR 5.2, 95% CI 1.2-22.9). Because of its 
      satisfactory mid-term result, SVR would be validated as an effective procedure 
      for ischemic cardiomyopathy.
FAU - Wakasa, Satoru
AU  - Wakasa S
AD  - Department of Cardiovascular Surgery, Hokkaido University, Sapporo, Japan.
FAU - Shingu, Yasushige
AU  - Shingu Y
FAU - Ooka, Tomonori
AU  - Ooka T
FAU - Tachibana, Tsuyoshi
AU  - Tachibana T
FAU - Kubota, Suguru
AU  - Kubota S
FAU - Matsui, Yoshiro
AU  - Matsui Y
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Cardiac Surgical Procedures/methods
MH  - Cardiomyopathy, Dilated/*surgery
MH  - Female
MH  - Heart Ventricles/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Ischemia/complications
EDAT- 2011/11/25 06:00
MHDA- 2012/01/06 06:00
CRDT- 2011/11/25 06:00
PHST- 2011/11/25 06:00 [entrez]
PHST- 2011/11/25 06:00 [pubmed]
PHST- 2012/01/06 06:00 [medline]
PST - ppublish
SO  - Kyobu Geka. 2011 Oct;64(11):985-8.