PMID- 23985401
OWN - NLM
STAT- MEDLINE
DCOM- 20131017
LR  - 20130829
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 66
IP  - 1
DP  - 2013 Jan
TI  - [Optimal indication for surgical ventricular restoration for dilated 
      cardiomyopathy].
PG  - 26-30
AB  - In this study, we assessed mid-term results of surgical ventricular restoration 
      (SVR) for dilated cardiomyopathy. The study subjects were 107 patients who 
      underwent SVR for both ischemic (ischemic cardiomyopathy:ICM, n=57) and 
      non-ischemic (dilated cardiomyopathy:DCM, n=50) dilated cardiomyopathy. In 
      49(86%)patients ICM was associated with New York heart Association(NYHA) class 
      III or more. Preoperative left ventricular ejection fraction (LVEF) and left 
      ventricular end-diastolic dimension(LVDd)were 22+/-6% and 67+/-9 mm, respectively. 
      Hospital mortality was 14% and 5-year mortality was 40%. In contrast, 46( 92%) of 
      the DCM patients presented with NYHA class III or more. Preoperative LVEF and 
      LVDd were 20+/-6% and 74+/-9 mm, respectively. Hospital mortality was 28% and 5-year 
      mortality was 63%. For NYHA class III or less, however, 5-year mortality rates 
      were 23% and 39% in those with ICM and DCM, respectively. For those with NYHA 
      functional class III or less, SVR was associated with a satisfactory survival 
      rate and is recommended. For those with severe heart failure, however, 
      ventricular assist devices or heart transplantation may have to be indicated.
FAU - Wakasa, Satoru
AU  - Wakasa S
AD  - Department of Cardiovascular Surgery, Hokkaido University, Sapporo, Japan.
FAU - Shingu, Yasushige
AU  - Shingu Y
FAU - Kubota, Suguru
AU  - Kubota S
FAU - Minamida, Taro
AU  - Minamida T
FAU - Iijima, Makoto
AU  - Iijima M
FAU - Naito, Yuji
AU  - Naito Y
FAU - Ooka, Tomonori
AU  - Ooka T
FAU - Tachibana, Tsuyoshi
AU  - Tachibana T
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  - Cardiomyopathies/mortality/surgery
MH  - Cardiomyopathy, Dilated/mortality/*surgery
MH  - Female
MH  - Heart Ventricles/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
EDAT- 2013/08/30 06:00
MHDA- 2013/10/18 06:00
CRDT- 2013/08/30 06:00
PHST- 2013/08/30 06:00 [entrez]
PHST- 2013/08/30 06:00 [pubmed]
PHST- 2013/10/18 06:00 [medline]
PST - ppublish
SO  - Kyobu Geka. 2013 Jan;66(1):26-30.