Integrated overlapping ventriculoplasty combined with papillary muscle plication for severely dilated heart failure

Matsui, Yoshiro; Fukada, Youichi; Naito, Yuji; Sasaki, Shigeyuki

doi:10.1016/j.jtcvs.2003.10.044

Cited by 45 publications

(43 citation statements)

References 5 publications

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“…A procedure with as little myocardial resection as possible would be expected in patients with diffuse hypokinesis of the LV wall motion in severe DCM. Matsui et al [18] reported the usefulness of integrated overlapping ventriculoplasty combined with papillary muscle plication for severely dilated heart failure. Suma et al [16] have showed that an intraoperative echographic evaluation is important for the purpose of proper site selection for ventricular reduction in end-stage cardiomyopathy.…”

Section: Discussionmentioning

confidence: 99%

Modified Batista Procedure for Idiopathic Dilated Cardiomyopathy: Report of a Case

Morimoto¹,

Kuroda²,

Ono³

et al. 2017

WJCS

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The surgical indications for dilated cardiomyopathy (DCM) remain controversial, not including cardiac transplantation and mechanical circulatory support. We describe a case of idiopathic DCM that underwent successful surgical treatment using a modified left ventriculectomy, modification of the Batista procedure. The patient was a 63-year-old man who suffered from heart failure, New York Heart Association (NYHA) Class IV. Heart failure was derived from idiopathic DCM with a severely compromised left ventricular function complicated by left ventricular thrombosis. He underwent successful surgical treatment, specifically partial left ventriculectomy combined with the papillary muscle approximation, and the postoperative course was uneventful. He has been well with NYHA Class I for 3 years after the operation without heart failure.

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Section: Discussionmentioning

confidence: 99%

Modified Batista Procedure for Idiopathic Dilated Cardiomyopathy: Report of a Case

Morimoto¹,

Kuroda²,

Ono³

et al. 2017

WJCS

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“…6) As an adjunctive procedure, papillary muscle approximation (PMA) was introduced to overcome the mitral valve tethering which caused functional mitral regurgitation. 7) To consider the effect of OLVP on the LV function with excluding the benefit of surgical revascularization, we compared the regional wall thickening between OLVP + PMA of NICM group and PMA of NICM group. If PMA was the only procedure to perform for patients, LV wall thickening would not increase after operation, as shown in PMA of NICM group ( Table 3).…”

Section: Discussionmentioning

confidence: 99%

“…7) Briefly, a 10cm long incision was made longitudinally next to left anterior descending artery at the LV anterior wall. The separated left-side margin was sutured to the height of the lower twothirds of the septal wall.…”

Section: Surgical Indication and Proceduresmentioning

confidence: 99%

“…We also reported our techniques of SVR including left ventriculoplasty with overlapping technique (OLVP) and repair of mitral valve tethering with mitral valve ring annuloplasty (MAP), papillary muscle approximation (PMA). 6,7) Recently, the effectiveness of SVR was reported by evaluating postoperative clinical status of heart failure as NYHA classification or global LV function such as ejection fraction, LV diastolic and systolic dimensions and so on. 8,9) Conversely, the benefit of SVR and the influence of correction of mitral regurgitation for ICM patients were disallowed, reported from a megastudy 10) or from a high-volume center.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Ventricular Restoration Improves the Left Ventricle Basal Wall Function Using Quantitative Gated Spect

Kubota

Matsui

Wakasa

et al. 2011

ATCS

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Objective: It is not clear whether surgical ventricular restoration (SVR) or procedures approaching mitral complex for controlling functional mitral regurgitation (MR) affect the regional left ventricular wall function. The purpose of the present study was to evaluate the regional LV function after SVR using overlapping left ventriculoplasty (OLVP) using quantitative gated myocardial perfusion SPECT (QGS). Patients and Method: Forty-one heart failure patients, including those with ischemic cardiomyopathy (ICM) (n = 25) and non-ICM (NICM) (n = 16), underwent SVR and/or papillary muscle approximation (PMA). The rest myocardial perfusion SPECT were performed before and early after operation (mean 25.8 ± 10.6 days). These patients were divided into 4 groups based on the surgical procedures (SVR and/or PMA) and etiology of patients (ICM or NICM) as follows: SVR (with or without PMA) of ICM, SVR of NICM, PMA of ICM and PMA of NICM groups. The regional wall thickening was compared before and after the operation between the four groups. Results: NYHA functional classes were improved after the operation in all four groups. MR grade was also improved in three groups other than SVR of the ICM group. The left ventricular basal wall thickening was improved postoperatively in following three groups (SVR of ICM: 12.7 ± 3.8% to 16.5 ± 4.6% p <0.05, PMA of ICM: 11.1 ± 4.3% to 14.9 ± 4.8% p <0.05, SVR of NICM: 5.8 ± 6.6% to 12.3 ± 6.4% p <0.05), whereas PMA of the NICM group did not show an improvement. Wall thickening in the middle and distal levels was not improved in all groups. Conclusion: OLVP improved NYHA functional classes, and also improved the regional wall function at the basal level of the left ventricle. In contrast, lone PMA did not improve or impair the regional wall function at any of the levels.

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“…This procedure is also aimed at creating a more elliptical LV shape using direct sutures, the distances between which are determined by an original intraventricular applicator as described previously. 8,9 Ueno et al recently reported that the overlapping procedure resulted in more significant LV volume reduction, maintaining the most elliptical LV shape and diastolic function compared with either the Dor or the SAVE procedure for mid-term results in IDCM. 10 Moreover, Dang et al investigated the effects of ventricular size and patch stiffness in SVR using a finite element model, and theoretically documented that left ventriculoplasty without using a patch was more beneficial than using a patch.…”

Section: Svr and Olvp For Idcmmentioning

confidence: 99%

Overlapping Left Ventricular Restoration

Matsui

2009

Circ J

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Integrated overlapping ventriculoplasty combined with papillary muscle plication for severely dilated heart failure

Cited by 45 publications

References 5 publications

Modified Batista Procedure for Idiopathic Dilated Cardiomyopathy: Report of a Case

Modified Batista Procedure for Idiopathic Dilated Cardiomyopathy: Report of a Case

Surgical Ventricular Restoration Improves the Left Ventricle Basal Wall Function Using Quantitative Gated Spect

Overlapping Left Ventricular Restoration

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