Remodelamento reverso cirúrgico do ventrículo esquerdo: seguimento de 111 meses

Almeida, Rui

doi:10.1590/s0102-76382009000500007

Cited by 8 publications

(5 citation statements)

References 23 publications

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“…It is relevant to mention that there are, beside experiences around the world, convincing Brazilian experiences for ventricular reconstruction: 1) Direct suture [ 9 ] ; 2) Modification of the Cooley technique with patch suture [ 10 ] ; 3) Dor patch plasty with septal exclusion [ 11 - 13 ] ; 4) Jatene geometric reconstruction with semi-rigid bovine pericardial prosthesis [ 14 - 17 ] ; and 5) Attempts to compare different techniques without definitive proof of superiority among them [ 18 , 19 ] . However, from the point of view of safety and reduction of surgical time, the "no patch" surgical variants techniques would be useful for the decision whether to operate left ventricular aneurysm or akinesia.…”

Section: Discussionmentioning

confidence: 99%

A Variant Technique for the Surgical Treatment of Left Ventricular Aneurysms

Évora

Tubino

Gali

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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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.

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Section: Discussionmentioning

confidence: 99%

A Variant Technique for the Surgical Treatment of Left Ventricular Aneurysms

Évora

Tubino

Gali

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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“…10 The purpose of reverse remodeling surgery on the left ventricle is to reduce the volume of the left ventricular cavity and reestablish its shape prior to remodeling, together with complete revascularization. 29 More recently, within our setting, left sympathetic therapeutic block by means of thoracoscopy in patients with heart failure has shown promising results. 12 The clinical improvement and the better left ventricular function observed in patients undergoing this procedure over the first six months of follow-up have been similar to those documented from using other well established procedures for treating chronic heart failure.…”

Section: -19mentioning

confidence: 94%

“…The purpose of reverse remodeling surgery on the left ventricle is to reduce the volume of the left ventricular cavity and reestablish its shape prior to remodeling, together with complete revascularization. 29 …”

mentioning

confidence: 99%

Surgical treatment of heart failure: a hot topic

Pêgo-Fernandes

Monteiro

2011

Sao Paulo Med. J.

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“…To assess QoL, we applied the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) questionnaire [ 27 ], since we used it in research with a specific focus on cardiology [ 28 ]. SF-36 consists of a self-administered instrument, which can also be part of an interview, whether face-to-face or by telephone [ 29 ], and SF-36 is composed of 36 questions that address eight domains in two major components: physical, which involves functional capacity, physical appearance, pain, and general health, and mental, which covers vitality, social aspects, emotional state, and mental health. We measured these domains in a score ranging from 0 to 100.…”

Section: Methodsmentioning

confidence: 99%

“…The higher the score, the better the QoL. SF-36 also includes an item that assesses the individuals’ perception of their own health compared to a year ago [ 28 , 29 ]. As regards the differences in patients in terms of their educational level, we decided to interview them to standardize our investigation.…”

Section: Methodsmentioning

confidence: 99%

Quality of Life among Patients with Acute Coronary Syndromes Receiving Care from Public and Private Health Care Systems in Brazil

Costa

Silva

Oliveira

et al. 2022

Clinics and Practice

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(1) Background: Quality of life (QOL) is used as a health indicator to assess the effectiveness and impact of therapies in certain groups of patients. This study aimed to analyze the QOL of patients with acute coronary syndrome (ACS) who received medical treatment by a public or private health care system. (2) Methods: This observational, prospective, longitudinal study was carried out in four referral hospitals providing cardiology services in Sergipe, Brazil. QoL was evaluated using the Medical Outcomes Study 36-Item Short-Form Health Survey. The volunteers were divided into two groups (public or private health care group) according to the type of health care provided. Multiple linear regression models were used to evaluate QoL at 180 days after ACS. (3) Results: A total of 581 patients were eligible, including 44.1% and 55.9% for public and private health care, respectively. At 180 days after ACS, the public health care group had lower QoL scores for all domains (functional capacity, physical aspects, pain, general health status, vitality, social condition, emotional profile, and health) (p < 0.05) than the private group. The highest QoL level was associated with male sex (p < 0.05) and adherence to physical activity (p ≤ 0.003) for all assessed domains. (4) Conclusions: This shows that social factors and health status disparities influence QoL after ACS in Sergipe.

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Remodelamento reverso cirúrgico do ventrículo esquerdo: seguimento de 111 meses

Cited by 8 publications

References 23 publications

A Variant Technique for the Surgical Treatment of Left Ventricular Aneurysms

A Variant Technique for the Surgical Treatment of Left Ventricular Aneurysms

Surgical treatment of heart failure: a hot topic

Quality of Life among Patients with Acute Coronary Syndromes Receiving Care from Public and Private Health Care Systems in Brazil

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