PMID- 9557280
OWN - NLM
STAT- MEDLINE
DCOM- 19980709
LR  - 20071115
IS  - 0914-5087 (Print)
IS  - 0914-5087 (Linking)
VI  - 31
IP  - 3
DP  - 1998 Mar
TI  - [Dor operation for end-stage ischemic cardiomyopathy].
PG  - 165-70
AB  - Endoventricular circular patch plasty (Dor operation) was used to treat end-stage 
      dilated ischemic cardiomyopathy in 13 patients from January to December, 1997. 
      There were 10 men and three women aged from 57 to 78 years (mean 63 years). 
      Single, double, triple and left main trunk coronary disease was present in one, 
      two, eight and two patients, respectively. Mean ejection fraction was 22% (6-30%) 
      and signs of congestive heart failure were clear in all patients [New York Heart 
      Association (NYHA) class III in eight patients and class IV in five patients]. 
      Angina pectoris was present in five patients. Six patients had associated 
      significant mitral regurgitation. Coronary artery bypass grafting (mean 3.2 
      grafts) was used in 11 patients and mitral valve reconstruction was performed in 
      6 patients (4: replacement and 2: repair) combined with akinetic area exclusion 
      by the Dor technique. All patients were successfully weaned from cardiopulmonary 
      bypass without mechanical support and no perioperative death occurred. Three 
      patients died in hospital at 1-2 postoperative months due to pneumonia, stroke 
      and heart failure, respectively. Two patients died during the late period due to 
      stroke and sudden death. Among the eight survivors, six patients were in NYHA 
      class I-II and two patients in class III. Ejection fraction increased from 22% to 
      36%, end-diastolic and systolic volume indices decreased from 168 +/- 58 to 123 
      +/- 39 ml/m2 and from 131 +/- 60 to 81 +/- 33 ml/m2, respectively. Pulmonary 
      capillary wedge pressure decreased from 19 +/- 10 to 14 +/- 5 mmHg. The Dor 
      procedure is an effective surgical alternative for patients with end-stage 
      ischemic cardiomyopathy who are considered to be candidates for cardiac 
      transplantation.
FAU - Suma, H
AU  - Suma H
AD  - Department of Cardiovascular Surgery, Shonan-Kamakura General Hospital, Kanagawa.
FAU - Isomura, T
AU  - Isomura T
FAU - Horii, T
AU  - Horii T
FAU - Ichihara, T
AU  - Ichihara T
FAU - Sato, T
AU  - Sato T
FAU - Nishimi, M
AU  - Nishimi M
FAU - Fujisaki, H
AU  - Fujisaki H
FAU - Ukawa, T
AU  - Ukawa T
FAU - Iwahashi, K
AU  - Iwahashi K
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Netherlands
TA  - J Cardiol
JT  - Journal of cardiology
JID - 8804703
SB  - IM
MH  - Aged
MH  - Cardiac Surgical Procedures/*methods
MH  - Cardiomyopathy, Dilated/*surgery
MH  - Female
MH  - Heart Failure/complications
MH  - Heart Ventricles/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Ischemia/physiopathology/*surgery
MH  - Stroke Volume
EDAT- 1998/04/29 00:00
MHDA- 1998/04/29 00:01
CRDT- 1998/04/29 00:00
PHST- 1998/04/29 00:00 [pubmed]
PHST- 1998/04/29 00:01 [medline]
PHST- 1998/04/29 00:00 [entrez]
PST - ppublish
SO  - J Cardiol. 1998 Mar;31(3):165-70.