O conceito renovado da operação de Batista na cardiomiopatia isquêmica

Gomes, Walter J.; Saavedra, Raul E.; Garanhão, Débora M.; Carvalho, Alexandre R.; Alves, Flávia dos S

doi:10.5935/1678-9741.20110043

Cited by 3 publications

(3 citation statements)

References 27 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cardiac remodeling is thought to be repaired by this procedure 20, 21 . There is probably no room for doubt about the effects of volume reduction therapy in patients with significantly enlarged ventricular aneurysms owing to myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

Associations between Left Ventricular Cavity Size and Cardiac Function and Overload Determined by Natriuretic Peptide Levels and a Covariance Structure Analysis

Yoshida

Kikuchi

Minai

et al. 2017

Sci Rep

View full text Add to dashboard Cite

The effects of left ventricular (LV) cavity size on cardiac function and overload have not yet been fully elucidated. We performed a covariance structure analysis and drew theoretical path models to clarify the effects of hemodynamic parameters on the stroke volume index (SVI) as a marker of cardiac function and on the plasma B-type natriuretic peptide (BNP) level as a marker of cardiac overload. We simultaneously measured various hemodynamic parameters and the BNP levels during cardiac catheterization in 1,715 inpatients of our institution. The current path models tested the validity of the Frank-Starling law in patients with heart failure using the SVI, the LV end-systolic volume index (LVESVI) and the LV end-diastolic volume index (LVEDVI). Using the BNP levels, the path models clearly demonstrated that LVESVI substantially augmented cardiac overload, whereas LVEDVI palliated this parameter. These volume indices exerted opposite effects on cardiac function and overload. These results advance the understanding of the relationships between LV cavity size and both cardiac function and overload and indicate the increasing importance of LV diastolic volume in heart failure and the utility of LVESVI as an important marker of cardiac remodeling for further relevant studies.

show abstract

Section: Discussionmentioning

confidence: 99%

Associations between Left Ventricular Cavity Size and Cardiac Function and Overload Determined by Natriuretic Peptide Levels and a Covariance Structure Analysis

Yoshida

Kikuchi

Minai

et al. 2017

Sci Rep

View full text Add to dashboard Cite

show abstract

“…The surgical technique can also be considered a variant of the one proposed by Gomes et al. [ 7 , 8 ] that also reported the unnecessary use of synthetic materials. This technique, with the elimination of prosthetic materials, virtually eliminates left ventricle akinetic areas and potentially attenuates chronic inflammatory reaction.…”

Section: Discussionmentioning

confidence: 99%

“…The aim of this paper is to present an option of "no-patch" variant technique to treat left ventricular aneurysms, without arguing whether there is a significant difference from others' techniques or that it is measurably better. The proposed variant technique was previously published [ 6 ] , emphasizing that Gomes et al [ 7 , 8 ] reported a variant technique that eliminates the use of synthetic materials for left ventricle reconstruction.…”

Section: Introductionmentioning

confidence: 99%

A Variant Technique for the Surgical Treatment of Left Ventricular Aneurysms

Évora

Tubino

Gali

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

View full text Add to dashboard Cite

ObjectiveTo present a surgical variant technique to repair left ventricular aneurysms.MethodsAfter anesthesia, cardiopulmonary bypass, and myocardial protection with hyperkalemic tepic blood cardioplegia: 1) The left ventricle is opened through the infarct and an endocardial encircling suture is placed at the transitional zone between the scarred and normal tissue; 2) Next, the scar tissue is circumferentially plicated with deep stitches using the same suture thread, taking care to eliminate the entire septal scar; 3) Then, a second encircling suture is placed, completing the occlusion of the aneurysm, and; 4) Finally, the remaining scar tissue is oversewn with an invaginating suture, to ensure hemostasis. Myocardium revascularization is performed after correction of the left ventricle aneurysm. The same surgeon performed all the operations.ResultsRegarding the post-surgical outcome 4 patients (40%) had surgery 8 eight years ago, 2 patients (20%) were operated on over 6 years ago, and 1 patient (10%) was operated on more than 5 years ago. Three patients (30%) were in functional class I, class II in 2 patients (20%) and 2 patients (20%) with severe comorbidities remains in class III of the NYHA. There were three deaths (at four days, 15 days and eight months) in septuagenarians with acute myocardial infarction, diabetes and pulmonary emphysema.ConclusionThe technique is easy to perform, safe and it can be an option for the correction of left ventricle aneurysms.

show abstract

Mid-Term Outcomes of Left Ventricular Volume Reduction Surgery in Pediatric Patients with Idiopathic Dilated Cardiomyopathy

et al. 2018

View full text Add to dashboard Cite

Objectives: The aim of this study was to report the early and mid-term outcomes of the left ventricular volume reduction surgery (LVVRS) and to carry out an observational analysis of prognostic factors related to early and late death after LVVRS, especially in pediatric patients with idiopathic dilated cardiomyopathy (DCMP). Methods: We reviewed the medical records of 10 patients (M:F = 5:5) under 19 years of age who had LVVRS for idiopathic DCMP between March 1997 and February 2014. We reviewed clinical characteristics, pre-and postoperative functional evaluation, and early/late postoperative mortality. Results: The mean age at diagnosis of idiopathic DCMP was 63.10 ± 44.39 (median 50, range 5.00-147.00) months and the mean age at the time of LVVRS was 83.30 ± 68.80 (median 63.5, range 14.00-210.00) months. The mean interval from diagnosis to LVVRS was 20.30 ± 35.34 (median 4, range 1.00-114.00) months. The failure of LVVRS was confirmed in seven cases. We defined failed LVVRS as death (n = 4) or heart transplant (n = 3) within two months of LVVRS. The most common cause of failed LVVRS was low cardiac output (n = 5, 71.4%), followed by ventricular tachycardia (n = 2, 28.6%). Conclusions: Although high mortality after LVVRS was noted in children with idiopathic DCMP, some patients had favorable midterm outcomes. LVVRS might be considered as a bridge therapy to heart transplantation in young patients.

show abstract

O conceito renovado da operação de Batista na cardiomiopatia isquêmica

Abstract: 545Gomes WJ, et al. -The renewed concept of the Batista operation for ischemic cardiomyopathy: maximum ventricular reduction Bras Cir Cardiovasc 2011;26(4):544-51 Rev

Cited by 3 publications

References 27 publications

Associations between Left Ventricular Cavity Size and Cardiac Function and Overload Determined by Natriuretic Peptide Levels and a Covariance Structure Analysis

Associations between Left Ventricular Cavity Size and Cardiac Function and Overload Determined by Natriuretic Peptide Levels and a Covariance Structure Analysis

A Variant Technique for the Surgical Treatment of Left Ventricular Aneurysms

Mid-Term Outcomes of Left Ventricular Volume Reduction Surgery in Pediatric Patients with Idiopathic Dilated Cardiomyopathy

Contact Info

Product

Resources

About