Surgical treatment of postinfarction anterior left ventricular aneurysms: linear vs. patch plasty repair

Mukaddirov, Mirdavron; Frapier, Jean-Marc; R, Demaria; Albat, Bernard

doi:10.1510/icvts.2007.160093

Cited by 17 publications

(22 citation statements)

References 20 publications

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“…However, although HF is reversed by the Dor procedure [22], the latter produces a less elliptical neo-LV compared with its modified approaches aimed at the creation of a longer and more conical LV cavity, with or without implantation of a patch [6,8,9,11,[22][23][24]. Similarly, a recent review was unable to clearly define the benefits of linear versus patch SVR techniques [25].…”

Section: Shape and Sphericitymentioning

confidence: 99%

Predictors of adverse events after surgical ventricular restoration for advanced ischaemic cardiomyopathy☆

Pocar

Mauro

Passolunghi

et al. 2010

European Journal of Cardio-Thoracic Surgery

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Despite advanced cardiomyopathy, SVR determines left ventricular volume reduction and improved systolic function. Baseline absent-to-moderate mitral regurgitation and a more spherical left ventricular geometry predict a less favourable clinical and functional outcome, suggesting a possible rationale for wider indications for combined correction of 2+ mitral regurgitation and undersizing of the mitral annulus, particularly in patients with sphericity index > or =0.75.

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Section: Shape and Sphericitymentioning

confidence: 99%

Predictors of adverse events after surgical ventricular restoration for advanced ischaemic cardiomyopathy☆

Pocar

Mauro

Passolunghi

et al. 2010

European Journal of Cardio-Thoracic Surgery

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“…In contrast, in a sub-analysis comparing geometric and linear reconstruction techniques that were carried out in the same time lag, a difference in early mortality could not be demonstrated. Mukaddirov et al recently published a study advocating a tailored approach (linear or patch plasty repair) in LVR depending on the specific anatomy of individual patients [99].…”

Section: Surgical Techniques and Mortalitymentioning

confidence: 99%

Early and late outcome of left ventricular reconstruction surgery in ischemic heart disease

Klein

Bax

Shaw³

et al. 2008

European Journal of Cardio-Thoracic Surgery

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A systematic review of the literature was performed to determine early and late mortality associated with left ventricular (LV) reconstruction surgery and to assess the influence of different surgical techniques, concomitant surgical procedures, clinical and hemodynamic parameters on mortality. The MEDLINE database (January 1980-January 2005) was searched and from the pooled data, hospital mortality and survival were calculated. Summary estimates of relative risks (RR) were calculated for the techniques that were used and for concomitant coronary artery bypass grafting (CABG) and mitral valve surgery. The risk-adjusted relationships between mortality and clinical and hemodynamic parameters were assessed by meta-regression. A total of 62 studies (12,331 patients) were identified. Weighted average early mortality was 6.9%. Cumulative 1-year, 5-year and 10-year survival were 88.5%, 71.5% and 53.9%, respectively. Endoventricular reconstruction (EVR) showed a reduced risk for both early (RR=0.79, p<0.005) and late (RR=0.67, p<0.001) mortality compared to the linear repair (early: RR=1.38, p<0.001; late: RR=1.83, p<0.001). Early and late mortality were mainly cardiac in origin, with as predominant cause heart failure in respectively 49.7% and 34.5% of the cases. Ventricular arrhythmias caused 16.6% of early deaths and 17.2% of late deaths. Concomitant CABG significantly decreased late mortality (RR=0.28, p<0.001) without increasing early mortality (RR=1.018, p=0.858). Concomitant mitral valve surgery showed both an increased risk for early (RR=1.57, p=0.001) and late mortality (RR=4.28, p<0.001). No clinical or hemodynamic parameters were found to influence mortality. It is noteworthy that only one third of patients included in the current analysis were operated for heart failure (14 studies, 4135 patients). In this group we noted an early mortality of 11.0% with a late mortality (3-year) of 15.2%. This analysis of pooled literature data showed that LV reconstruction surgery is performed with acceptable mortality and EVR may be the preferred technique with a reduced risk for early and late mortality. Concomitant CABG improved outcome, whereas the need for mitral valve surgery appeared an index of gravity. No clinical or hemodynamic parameters were found to influence mortality; specifically LV ejection fraction and LV volumes both did not predict outcome.

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“…Despite a lack of significant results favoring long-term survival improvement by coronary revascularization, the vast majority of authors agree on the necessity of concomitant CABG, particularly in patients with multivessel disease. 15 As shown in Table 1, more than 80% of our patients had ≥2 vessel disease preoperatively. The coronary lesions of more than 90% of the cases were addressed accordingly.…”

Section: Discussionmentioning

confidence: 81%

“…CABG is one of the important components of LVA surgery, and the revascularization rate varies in the literature from 68% to 100%. Despite a lack of significant results favoring long‐term survival improvement by coronary revascularization, the vast majority of authors agree on the necessity of concomitant CABG, particularly in patients with multivessel disease 15 . As shown in Table 1, more than 80% of our patients had ≥2 vessel disease preoperatively.…”

Section: Discussionmentioning

confidence: 81%

Left Ventricular Aneurysm Using the Dor Technique: Mid-term Results

Tekümit

Polat²,

Uyar³

et al. 2010

Journal of Cardiac Surgery

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Surgical treatment of postinfarction anterior left ventricular aneurysms: linear vs. patch plasty repair

Abstract: Our study did not reveal significant differences between linear closure and patch plasty repair in the short- and long-term. The choice of repair technique should be adapted to each patient's anatomical and physiological characteristics.

Cited by 17 publications

References 20 publications

Predictors of adverse events after surgical ventricular restoration for advanced ischaemic cardiomyopathy☆

Predictors of adverse events after surgical ventricular restoration for advanced ischaemic cardiomyopathy☆

Early and late outcome of left ventricular reconstruction surgery in ischemic heart disease

Left Ventricular Aneurysm Using the Dor Technique: Mid-term Results

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