The surgical reconstruction of left ventricle in patients with coronary heart disease complicated by heart failure

Abstract


From 1996 till 2010 in our hospital 136 patients with coronary heart disease complicated by heart failure underwent surgical treatment. The patients were divided into 2 groups: I - the patients with a left ventricular aneurysm (n = 70), II - the patients with ischemic cardiomyopathy (ICMP) (n = 66 patients). All the patients underwent coronary artery bypass surgery, reconstruction of the left ventricle (Dor procedure), the correction of mitral regurgitation.
Hospital mortality in group II was 5.4%, all the patients in group I had surgery safely. All the surviving patients after surgery have decreased the size of the left ventricle decreased spherical cavity of the ventricle, increased its fraction. 10 - year survival rate in group I was 78% in the II - 56,5%. Freedom from heart failure of high functional classes (NYHA III, IV), 10 years after surgery the patients in group I was 80.2%, in group II - 68%.
The surgical procedure on all components of cardiac pathology in the patients with coronary artery disease and heart failure can achieve satisfactory long-term results.

About the authors

D V Kuznetsov

D V Kuznetsov

References

  1. Carson PE. Beta blocker treatment in heart failure. Prog Cardiovasc Dis. 1999;41(4):301-321.
  2. Mills RM, Young JB. Practical Approaches to the Treatment of Heart Failure. Baltimore, Philadelphia:Williams & Wilkins; 1998.
  3. Мареев В.Ю., Беленков Ю.Н. Перспективы в лечении хронической сердечной недостаточности. Вестник НИИТ и ИО. 2005
  4. Cohn JN. Structural basis for heart failure. Ventricular remodeling and its pharmacological inhibition.Circulation. 1995;91(10):2504-2507.
  5. Califf RM, Adams KF, McKenna WJ, et al. A randomized controlled trial of epoprostenol therapy for severe congestive heart failure: The Flolan International Randomized Survival Trial (FIRST). Am Heart J. 1997;134:44-54.
  6. Greenberg B, Quinones MA, Koilpillai C, et al. Effects of long-term enalapril therapy on cardiac structure and function in patients with left ventricular dysfunction. Circulation. 1995;91:2573-81.
  7. Watson RDS, Gibbs CR, Lip GY. ABC of heart failure: clinical features and complications. BMJ. 2000;320:236-9.
  8. Амосова Е.Н. Кардиомиопатии.- Киев, «Книга плюс», 1999.-с.420.
  9. Castelvecchio, L. Menicanti, M. Ranucci, and M. Di Donato. Impact of Surgical Ventricular Restoration on Diastolic Function: Implications of Shape and Residual Ventricular Size. Ann. Thorac. Surg., December 1, 2008; 86(6): 1849 - 1854.
  10. Di Donato M., S. Castelvecchio, T. Kukulski, C. Bussadori, F. Giacomazzi, A. Frigiola, and L. Menicanti. Surgical ventricular restoration: left ventricular shape influence on cardiac function, clinical status, and survival. Ann. Thorac. Surg., February 1, 2009; 87(2): 455 - 461.
  11. Eisen. H. J. Surgical Ventricular Reconstruction for Heart Failure. N. Engl. J. Med., April 23, 2009; 360(17): 1781 - 1784.
  12. Suma H., H. Tanabe, T. Uejima, T. Isomura, and T. Horii. Surgical ventricular restoration combined with mitral valve procedure for endstage ischemic cardiomyopathy. Eur. J. Cardiothorac. Surg., August 1, 2009; 36(2): 280 - 285.
  13. Yu H.-Y., Y.-S. Chen, W.-Y. Tseng, N.-S. Chi, C.-H. Wang, S.-S. Wang, and F.-Y. Lin Why is the surgical ventricular restoration operation effective for ischemic cardiomyopathy? Geometric analysis with magnetic resonance imaging of changes in regional ventricular function after surgical ventricular restoration. J. Thorac. Cardiovasc. Surg., April 1, 2009; 137(4): 887 - 894.
  14. Shah Pallav J., David L. Hare, Jai S. Raman, Ian Gordon, Robert K. Chan, John D. Horowitz, Alex Rosalion, and Brian F. Buxton. Survival after myocardial revascularization for ischemic cardiomyopathy: A prospective ten-year follow-up study. J. Thorac. Cardiovasc. Surg., Nov 2003; 126: 1320 - 1327.
  15. Yamaguchi A., Ino T., Adachi H. et al. Left ventricle volume predicts postoperative cours in patients with ischemic cardiomyopathy. Ann. Thorc. Surg. - 1998. - Vol. 65. - p. 434 - 438.
  16. Кузнецов Д.В. Хирургическое лечение больных ишемической кардиомиопатии. Автореф. Дисс. … канд. мед. наук. - Самара 2004, 152 с.

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Copyright (c) 1970 Kuznetsov D.V., Kuznetsov D.V.

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