The early and long-term results of surgical remodeling of left ventricular in patients with coronary heart disease
Abstract
Aim – to evaluate the immediate and long-term results of surgical remodeling of postinfarction left ventricular (LV) aneurysms on the beating heart.
Material and methods. The study included 149 patients with coronary heart disease and
extensive postinfarction cardiosclerosis who underwent LV plasty surgery and aorto-coronary artery bypass grafting in conditions of a beating heart without the use of cardioplegia:
140 (93.9%) men, 9 (6.06%) women. For the implementation of reconstructive interventions,
3 types of LV plasty were used: linear plasty, endoventricular circular patch plasty and LV plasty by Stony. Linear plasty – 41 (28.7%), endoventricular circular patch plasty – 49 (30.8%), autoseptoplasty – 59 (40.4%), LV plasty surgery + thrombectomy – 99 (66.7%).
Results. According to the Echo data, a significant increase in the LV ejection fraction (EF)
and a decrease in the LV diastolic volume were noted before discharge. During hospital stay
1 (0.5%) patient died due to the development of acute heart failure.
Conclusion. When performing left ventricular plastic surgery without the use of cardioplegia,
early and long-term results indicate the effectiveness of this technique. When comparing the
immediate and long-term results of various types of left ventricular plasty, the best results were
observed after linear plasty.
Keywords:left ventricular (LV) aneurysm, LV plasty surgery on beating heart, cardioplegia
Clin. Experiment. Surg. Petrovsky J. 2018; 1 (19): 27–33.
DOI: 10.24411/2308-1198-2018-00004
Received: 15.12.2017. Accepted: 25.01.2018.
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