scholarly journals Postinfarction left ventricle remodeling surgical treatment, different ways to get same result

Author(s):  
Lorenzo A. Menicanti
2018 ◽  
Vol 16 (1) ◽  
pp. 11
Author(s):  
D. S. Prokhorova ◽  
G. P. Nartsissova ◽  
Yu. N. Gorbatykh ◽  
Yu. S. Sinelnikov ◽  
A. V. Gorbatykh

The results of echocardiographic study of 87 children with coarctation of aorta before and after surgical treatment are presented. All children were broken down in two groups: patients with a low ejection fraction and those with a normal one. While determining the type of left ventricle remodeling, eccentric hypertrophy was revealed in 46% of patients in the first group, mainly in children with a preductal variant of aorta coarctation. It was found out that the echocardiographic characteristics of the first group patients, who underwent surgery at the age of more than 6 months, were restored slowly. In general, LV functional characteristics were restored faster than the geometrical ones. When studying a longitudinal function of the left ventricle, an increase in the index of myocardial contractility and a decrease in the myocardial rates in 100 % of cases were revealed.


Author(s):  
Lorenzo Menicanti

The surgical ventricular restoration is an evolution of treatment of left ventricle aneurysm. The aetioloy of left ventricle aneurysm and the dilated post AMI cardiomiopaty is the same; the difference is in the extension of scarred tissue and in the quality of remote zone. Because in this anatomical situation the geometry of left left ventricle can be deeply affected, it can very difficult to have point of reference as position of apex or papillary mussles. Using a sizer and combine different surgical thecniques allow to rebuilt a ventricle with appropriate volume and shape.


Circulation ◽  
1973 ◽  
Vol 48 (1s3) ◽  
Author(s):  
ALBERT D. PACIFICO ◽  
JOHN W. KIRKLIN ◽  
L. M. BARGERON ◽  
BENIGNO SOTO

Thorax ◽  
1985 ◽  
Vol 40 (8) ◽  
pp. 621-625 ◽  
Author(s):  
P A Russo ◽  
J E Wright ◽  
S Y Ho ◽  
J R Maneksa ◽  
D Clitsakis

Global Heart ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. 450-451
Author(s):  
A. Tomasik ◽  
G. Banasik ◽  
D. Kawecki ◽  
C. Wojciechowska ◽  
W. Jacheć ◽  
...  

Author(s):  
Marija Zdravkovic ◽  
Branislav Milovanovic ◽  
Mirjana Krotin ◽  
Sinisa Dimnkovic ◽  
Dragan Lovic ◽  
...  

2020 ◽  
Author(s):  
Agnieszka Wojdyła-Hordyńska ◽  
Patrycja Pruszkowska-Skrzep ◽  
Philipp Sommer ◽  
Gerhard Hindricks ◽  
Piotr Feusette ◽  
...  

2021 ◽  
Vol 5 (1) ◽  
pp. 1195-1201
Author(s):  
O. Kiziukevich ◽  
◽  
S. Spiridonov ◽  
A. Zhyhalkovich ◽  
D. Isachkin ◽  
...  

Today diseases of the cardiovascular system are the leading cause of death in many countries. The key role in this pathology is played by ischemic heart disease. An extreme manifestation of ischemic heart disease - myocardial infarction is one of the main causes of complications and mortality in patients with ischemic heart disease. One of the most formidable complications of acute myocardial infarction is heart rupture, which most often leads to death, more than 60% of cases occurring in the prehospital stage. Many studies of similar groups of patients show a wide spread in assessing the incidence and mortality of this pathology. The development of myocardial ruptures has two frequency peaks: the first day and 5-7 days from the onset of AMI. The most common case is acute rupture of the free wall of the left ventricle with extensive hemorrhage in the pericardium leading to a fulminant death. The development of a pseudoaneurysm of the left ventricle is a very rare outcome of the myocardial rupture. There are no convincing data on the incidence of pseudoaneurysms as a result of myocardial infarction (according to many authors, it is less than 0.5% of all cases of myocardial infarction). This type of rupture is most favorable in terms of the possibility of providing assistance. The complexity of providing care to patients with pseudoaneurysms of the left ventricle lies in their low frequency of occurrence and often asymptomatic nature of the course, which complicates the diagnosis of this pathology. Timely diagnosis plays a key role in avoiding a fatal outcome, since the vast majority of pseudoaneurysms are extremely unstable and, except occasional cases, require urgent surgical intervention. This article describes a clinical case of a patient who underwent surgical treatment for pseudoaneurysm of the free wall of the left ventricle as a result of myocardial infarction. The article also presents a brief literature review of the available isolated data on risk factors for myocardial rupture, methods of diagnosis and treatment of this pathology.


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