scholarly journals Comparable outcomes between genders in patients undergoing surgical ventricular reconstruction for ischaemic heart failure

2020 ◽  
Author(s):  
Serenella Castelvecchio ◽  
Valentina Milani ◽  
Marianna Volpe ◽  
Michele Citarella ◽  
Federico Ambrogi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Surgical Ventricular Reconstruction ◽  
Ventricular Reconstruction

scholarly journals 106 * RIGHT VENTRICULAR FUNCTION AFTER SURGICAL VENTRICULAR RECONSTRUCTION IN HEART FAILURE

2013 ◽  
Vol 17 (suppl 2) ◽  
pp. S95-S95
Author(s):  
S. Castelvecchio ◽  
M. Guazzi ◽  
F. Bandera ◽  
M. Pellegrino ◽  
A. Garatti ◽  
...  
Keyword(s):  
Heart Failure ◽  
Right Ventricular ◽  
Ventricular Function ◽  
Right Ventricular Function ◽  
Surgical Ventricular Reconstruction ◽  
Ventricular Reconstruction

scholarly journals Surgical ventricular reconstruction and subendocardial resection for the treatment of refractory ventricular tachycardia

2014 ◽  
Vol 96 (8) ◽  
pp. e26-e27
Author(s):  
NA Ismail ◽  
J Bence ◽  
TJ Spyt
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Ventricular Tachycardia ◽  
Medical Treatment ◽  
Female Patient ◽  
Acute Heart Failure ◽  
Surgical Intervention ◽  
Clinical Scenario ◽  
Surgical Ventricular Reconstruction ◽  
Ventricular Reconstruction

We describe a case of 64-year-old female patient with ventricular tachycardia intractable to medical treatment and acute heart failure following myocardial infarction. Emergency surgical ventricular reconstruction and subendocardial resection was undertaken. We discuss the option of surgical intervention in this difficult and unusual clinical scenario.

scholarly journals Surgical ventricular reconstruction for ischaemic heart failure: state of the art

2016 ◽  
Vol 18 (suppl E) ◽  
pp. E8-E14 ◽  
Author(s):  
Serenella Castelvecchio ◽  
Andrea Garatti ◽  
Pier Vincenzo Gagliardotto ◽  
Lorenzo Menicanti
Keyword(s):  
Heart Failure ◽  
State Of The Art ◽  
Surgical Ventricular Reconstruction ◽  
Failure State ◽  
Ventricular Reconstruction

scholarly journals Miokardo gyvybingumas – svarbus požymis numatant chirurginį išeminio širdies nepakankamumo gydymą

2007 ◽  
Vol 5 (3) ◽  
pp. 0-0
Author(s):  
Elvyra Voluckienė ◽  
Loreta Ivaškevičienė ◽  
Virginija Grabauskienė ◽  
Jurgita Židanavičiūtė ◽  
Giedrius Uždavinys
Keyword(s):  
Heart Failure ◽  
Nyha Class ◽  
Left Ventricular ◽  
Ischemic Heart ◽  
Ischemic Heart Failure ◽  
Surgical Ventricular Reconstruction ◽  
Ventricular Reconstruction ◽  
The Mean ◽  
Vilnius University ◽  
One Year

Elvyra Voluckienė1, Loreta Ivaškevičienė2, Virginija Grabauskienė3, Jurgita Židanavičiūtė4, Giedrius Uždavinys21 Vilniaus universiteto ligoninės Santariškių klinikų Širdies chirurgijos centras,Santariškių g. 2, LT-08661 Vilnius2 Vilniaus universiteto Širdies chirurgijos centras, Santariškių g. 2, LT-08661 Vilnius3 Vilniaus universiteto Kardiologijos ir angiologijos centras4 Vilniaus Gedimino technikos universitetasEl paštas: [email protected] Tikslas Nustatyti priešoperacinės kairiojo skilvelio (KS) funkcijos prognostinę reikšmę pacientams, sergantiems sunkiu išeminiu širdies nepakankamumu (IŠN), po chirurginės kairiojo skilvelio rekonstrukcijos (KSR) ir aortos bei vainikinių jungčių (AVJ) suformavimo operacijos. Ligoniai ir metodai Retrospektyvinei analizei tikslingai atrinkti 37 pacientai (32 vyrai, vidutinis amžius 59 ± 10,5 m.), sergantys IŠN ir KS išvarymo frakcija (IF) < 30%, kuriems buvo atlikta KSR ir AVJ suformavimo operacija. Po persirgto Q bangos priekinio miokardo infarkto buvo praėję vidutiniškai 5,8 ± 3,3 mėnesio. Vidutinė NYHA klasė buvo 3,4 ± 1,3. KS funkcijos rodikliai buvo apskaičiuoti dobutamino echokardiografijos tyrimo ramybės (r) ir mažos dobutamino dozės (mdd) metu: diastolinio skersmens indeksas – DDI cm/m² (r), IF (%) (r), sienos judėjimo indeksas – SJIr ir SJImdd, asinergijos plotas (Aproc.) (mdd). Hospitalinis mirštamumas buvo 13,5%; mirštamumas per vienus metus buvo 6,25%. Vidutinė NYHA klasė po vienų metų buvo 2,2 ± 1,1. Rezultatai Logistinės regresijos analizė ir „Proportional Odds“ modelis parodė, kad priešoperacinis KS Aproc. (mdd) buvo statistiškai reikšmingas prognostinis pooperacinės vienų metų NYHA klasės požymis (OR 0,86, p = 0,0086). Išvada Priešoperacinis kairiojo skilvelio asinergijos dydis, nustatytas dobutamino echokardiografijos tyrimo metu, yra svarbus požymis, numatant pooperacinę vienų metų NYHA klasę pacientams, sergantiems sunkiu išeminiu širdies nepakankamumu po chirurginės kairiojo skilvelio rekonstrukcijos ir aortos bei vainikinių jungčių suformavimo operacijos. Pagrindiniai žodžiai: išeminis širdies nepakankamumas, kairiojo skilvelio rekonstrukcija Myocardial viability predicts improvement in patients after surgical treatment of ischemic heart failure Elvyra Voluckienė1, Loreta Ivaškevičienė2, Virginija Grabauskienė3, Jurgita Židanavičiūtė4, Giedrius Uždavinys21 Vilnius University Hospital Santariškių Clinics, Cardial Surgery Centre,Santariškių str. 2, LT-08661 Vilnius, Lithuania2 Vilnius University, Cardiac Surgery Centre, Santariškių str. 2, LT-08661 Vilnius, Lithuania3 Vilnius University, Centre of Cardiology and Angiology4 Vilnius Gediminas Technical UniversityE-mail: [email protected] Objective This study sought to define the prognostic value of myocardial viability in patients with severe ischemic heart failure, who underwent surgical ventricular reconstruction with associated coronary grafting. Patients and methods This retrospective study selected 37 consecutive patients (32 men, mean age 59 ± 10.5 years) who underwent surgical ventricular reconstruction with associated coronary grafting, and preoperative left ventricular (LV) ejection fraction < 30% (mean, 25 ± 4.6%). The mean New York Heart Association (NYHA) class before operation was 3.4 ± 1.3. The time-frame of the large anterior myocardial infarction was 5.8 ± 3.3 months. LV systolic function was assessed by echo-dobutamine: the wall motion score index at rest (WMSIr), WMSI and the extent of LV asynergy (A%) during low-dose dobutamine (ldd). In-hospital mortality was 13.5%. After one-year, the mean functional NYHA class was 2.2 ± 1.1, and at one-year the mortality was 6.25%. Results Logistic regression analysis and the Proportional Odds model showed that LV A% during ldd (OR 0.86, p = 0.0086) was an independent predictor for the one-year postoperative functional NYHA class. Conclusions The preoperative extent of left ventricular asynergy during echo-dobutamine can predict the expectation of functional NYHA class improvement in patients with a severe ischemic heart failure one-year following surgical ventricular reconstruction with associated coronary grafting. Key words: ischemic heart failure, surgical ventricular reconstruction

Surgical management of heart failure

2021 ◽  
Vol 17 ◽  
Author(s):  
Stephanie Lauren Wayne ◽  
Adam David Zimmet
Keyword(s):  
Heart Failure ◽  
Cardiac Resynchronisation Therapy ◽  
Functional Mitral Regurgitation ◽  
Circulatory Support ◽  
New Developments ◽  
Advantages And Disadvantages ◽  
Surgical Ventricular Reconstruction ◽  
Cardiac Resynchronisation ◽  
Resynchronisation Therapy ◽  
Ventricular Reconstruction

: Optimal management of heart failure is collaborative, with involvement of specialist heart failure physicians, nurses, interventionalists and surgeons. In addition to medical optimisation and cardiac resynchronisation therapy, surgery plays a valuable role in many patients. We herein detail the evidence behind and role for surgical intervention in functional mitral regurgitation, coronary revascularisation in ischaemic cardiomyopathy, and surgical ventricular reconstruction. Additionally, we describe techniques of temporary and durable mechanical circulatory support, with their relative advantages and disadvantages and applications. Finally, we describe the history and nomenclature around heart transplant, its indications, techniques, present-day outcomes, complications, and new developments in the field.

Coronary artery bypass grafting with surgical ventricular reconstruction

2021 ◽  
pp. 431-434
Author(s):  
Serenella Castelvecchio ◽  
Raffaella Molfetta ◽  
Andrea Garatti ◽  
Lorenzo Menicanti
Keyword(s):  
Heart Failure ◽  
Artery Bypass ◽  
Myocardial Revascularization ◽  
Ventricular Volume ◽  
Left Ventricular ◽  
Systolic Volume ◽  
Surgical Ventricular Reconstruction ◽  
End Systolic Volume ◽  
Current Management Strategy ◽  
Ventricular Reconstruction

The increase in left ventricular volume after a myocardial infarction is a component of the remodelling process leading to heart failure and it is associated with poor clinical outcomes. Hence, the current management strategy for ischaemic left ventricular dysfunction has been aimed to reverse the remodelling process by medical therapy, devices and/or surgical strategies. Surgical ventricular reconstruction, usually combined with myocardial revascularization, has been introduced as an optional therapeutic strategy aimed to reduce the left ventricle through the exclusion of the scar tissue. Surgical ventricular reconstruction is recommended in selected heart failure patients, especially if a postoperative left ventricular end-systolic volume index less than 70 mL/m2 can be predictably achieved, because a smaller residual volume is associated with improved survival. This chapter briefly discusses the rationale to surgically reverse left ventricular remodelling, the technique, and the indications to the best of the authors’ knowledge, coming from one of the centres with the most experience in SVR worldwide.

Sign in / Sign up

Export Citation Format

Share Document