We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
A More Comprehensive Left Ventricular Repair for Severely Dilated Cardiomyopathy.
- Authors
Nakajima, Hiroyuki; Yamanaka, Kazuo; Horii, Taiko; Nishina, Takeshi; Ikeda, Tadashi; Komeda, Masashi
- Abstract
We report a patient with cardiogenic shock due to severely dilated cardiomyopathy who underwent complex, but comprehensive left ventricle (LV) repair. Preoperative investigation showed marked LV dilatation, poor LV function, severe mitral and tricuspid regurgitation, and total occlusion of two coronary arteries. We urgently performed (1) modified Batista operation which preserves the LV apex, (2) septal anterior ventricular exclusion (SAVE) operation, (3) mitral annuloplasty, (4) tricuspid annuloplasty, and (5) coronary bypass. Postoperative evaluation revealed good graft flow, reduced LV dimension preserving the elliptical shape, improved LV function, and minimal MR. Twenty-six months postoperatively, the patient has minimum clinical symptoms (NYHA: I).
- Subjects
CARDIOGENIC shock; MYOCARDIAL infarction; CARDIOMYOPATHIES; LEFT heart ventricle; CORONARY arteries; MITRAL valve insufficiency; MITRAL valve diseases
- Publication
Journal of Cardiac Surgery, 2006, Vol 21, Issue 1, p62
- ISSN
0886-0440
- Publication type
Article
- DOI
10.1111/j.1540-8191.2006.00170.x