Early experience with left ventricular volume reduction surgery in Syria

Kabbani, Sami S.; Izzat, Mohammad Bashar; Jamil, Hisham; Hammoud, A; Nabhani, Fawzi; Kabbani, Loay

doi:10.1016/s0967-2109(00)00056-9

Cited by 2 publications

(5 citation statements)

References 8 publications

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“…Although short-term clinical improvement in survivors has generally been observed, operative mortality was high in most reports, and the intermediate results and documentation of physiologic improvement have been less than optimal. [3][4][5][6][7][8] Our experience with this operation in the Middle East mirrors that of most other series.…”

Section: Discussionsupporting

confidence: 72%

“…Our limited experience leads us to believe that LVVR in conjunction with valve repair or replacement in these patients may be of particular benefit, since our better results belonged to this category. 5,7 It is quite possible that special techniques will be developed in the near future to reap the benefits of LVVR (reduced left ventricular volume and stress) without actually resecting viable muscle. Already two devices, the Myocor interventricular splint and the Acorn cardiac support system, have been introduced, as well as special surgical techniques such as realignment of the papillary muscles through a small apical cardiotomy.…”

Section: Discussionmentioning

confidence: 99%

“…14 Several of our patients who deteriorated postoperatively had undergone Alfieri-type repairs without a ring, and actually succumbed to recurrent mitral regurgitation. 7 Therefore, we believe that mitral valve repair should follow standard techniques and include the use of a stabilizing ring. This is supported by wider experience in the region published previously.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Left Ventricular Volume Reduction Surgery in the Middle East

Kabbani¹,

Izzat²,

Jamil³

et al. 2003

Asian Cardiovasc Thorac Ann

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Heart transplantation is not yet socially acceptable in the Middle East, and left ventricular assist facilities are not generally available in this region. Therefore, left ventricular volume reduction surgery was attempted in 41 patients with end-stage heart failure (33 males; median age, 36.3 years) in 4 Middle Eastern tertiary referral centers between February 1996 and January 2001. Heart failure was due to idiopathic cardiomyopathy in 21 patients, ischemia in 11, rheumatic valvular disease in 8, and viral myocarditis in 1. Associated procedures were aortic valve replacement in 5 patients, mitral valve repair in 25, mitral valve replacement in 7, tricuspid valve repair in 6, and coronary bypass grafting in 8. Hospital mortality was 31.7%. Five patients were lost to follow-up. The survival rate of hospital survivors at 18 months was 65.2%. Three of the surviving patients did not benefit from the operation. Although our results were somewhat disappointing, this operation remains an option for surgeons working in developing areas of the world. It is hoped that better patient selection and new techniques of left ventricular volume reduction that avoid resection of viable muscle will further improve the outcome of this operation.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Left Ventricular Volume Reduction Surgery in the Middle East

Kabbani¹,

Izzat²,

Jamil³

et al. 2003

Asian Cardiovasc Thorac Ann

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“…The Batista procedure, or Partial Left Ventriculectomy, was developed to correct the cardiac dilation. Numerous articles mention its application in clinical and experimental situations, reflecting the importance of this surgery [1,4,[9][10][11][12]15]. It is performed with the cardiopulmonary bypass (CPB) in humans [2].…”

Section: Introductionmentioning

confidence: 99%

Beating heart partial ventriculectomy in dogs

Aguiar¹,

Schossler

Raiser

et al. 2018

Acta Scientiae. Vet.

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After valve endocardiosis, dilated cardiomyopathy is the most diagnosed cardiac affection in dogs. Sometimes this disease is unresponsible to medical therapy, in this way surgery becomes necessary to its correction. Unfortunately, dogs do not support cardiopulmonary bypass because its tendency in microtrombus formation in the capillary vessels of the lung circulation. Due to this condition, another surgical alternatives were developed, in order to correct the increase in ventricle size, as the ventricle plication or partial ventriculectomy with the inflow occlusion. However, this kind of technique has its complications, as well the ventricle plication. In plication, a part of necrotic heart tissue still remains, and if the necrosis does not happen, that portion of myocardium keeps its oxygen consumption, leading to heart failure. The partial ventriculectomy with the inflow occlusion is time dependent. For its execution it means that the surgeon gets only four minutes to perform the resection of the dilated ventricle and then suture the remaining defect after the inflow occlusion. The aim of this study is to develop a new technique of heart size reduction, called by the authors Beating Heart Partial Ventriculectomy.

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Early experience with left ventricular volume reduction surgery in Syria

Cited by 2 publications

References 8 publications

Left Ventricular Volume Reduction Surgery in the Middle East

Left Ventricular Volume Reduction Surgery in the Middle East

Beating heart partial ventriculectomy in dogs

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