Surgical repair of postinfarction structural failure of the posterobasal part of the heart.

Détails

ID Serval
serval:BIB_8ECBC7928A5F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Surgical repair of postinfarction structural failure of the posterobasal part of the heart.
Périodique
Annals of Thoracic Surgery
Auteur(s)
Prêtre R., Stalder N., Ye Q., Grünenfelder J., Jenni R., Turina M.I.
ISSN
0003-4975 (Print)
ISSN-L
0003-4975
Statut éditorial
Publié
Date de publication
1999
Peer-reviewed
Oui
Volume
68
Numéro
6
Pages
2152-2157
Langue
anglais
Résumé
BACKGROUND: This study is an analysis of our results with endoventricular repair of postinfarction structural defects of the posterobasal part of the heart.
METHODS: Thirty-four patients who underwent endoventricular repair of a postinfarction structural defect of the posterobasal heart were reviewed. Patients with rupture of the ventricular septum (18 patients) or free wall (1 patient) were operated on acutely and patients with ventricular aneurysm (15 patients) electively. Restitution of the ventricular geometry was achieved by evertion (11 patients), resection (4 patients), or augmentation of the ventriculotomy (4 patients) in patients with ventricular rupture, and by resection of the aneurysm in the others. Coronary artery bypass was performed in 24 patients.
RESULTS: Six patients died postoperatively (five due to rupture and one from aneurysm) and nine patients (six due to rupture and three from aneurysm) during follow-up. Survival rate at 5 years (including operative mortality) was 43% for patients with rupture and 61% for patients with aneurysm. The majority of the survivors were in New York Heart Association functional class I or II after a median follow-up of 5 years.
CONCLUSIONS: Endocardial repair, ventricular remodeling, and selective myocardial revascularization provided overall good results in the treatment of this difficult cardiac area.
Pubmed
Web of science
Création de la notice
16/12/2014 19:56
Dernière modification de la notice
03/03/2018 19:19
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