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Left Ventricular Volume Reduction for End‐Stage Heart Disease
Author(s) -
Vanelli Paolo,
Beretta Luigi,
Fundaro Pino Maria,
Carro Cristina,
Santoli Carmine,
Mangini Andrea,
Condemi Anna Maria,
Castelli Piero,
Munari Matteo
Publication year - 1985
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.1985.tb01249.x
Subject(s) - medicine , cardiology , dilated cardiomyopathy , ejection fraction , heart failure , diastole , cardiomyopathy , blood pressure
Partial left ventriculectomy (PLV) was recently introduced for end‐stage dilated cardiomyopathy to improve ventricular function. Since November 1996 we have performed PLV in 14 patients; preoperatively 4 patients had idiopathic dilated cardiomyopathy and 10 had ischemic dilated cardiomyopathy. 57.1% of patients were in New York Heart Association functional Class IV. The mitral valve was replaced in 11 patients. Postoperative echocardiography showed a reduction of left end‐diastolic diameter (55.4 ± 5.4 mm) and an increase in forward ejection (cardiac index from 2.19 ± 0.571 min/m 2 to 2.67 ± 0.931/min/m 2 ). The 30‐day mortality was 28.6% and 20‐month survival was 57.2%. Only one patient was not in NYHA functional class due to postoperative progressive mitral incompetence. Prognostic factors should be identified to avoid early failure. However, even if the mortality rate for PLV high, this operation is a valid choice for the treatment of end‐stage dilated cardiomyopathy.