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

Tekümit, Hayrettin; Polat, Adil; Uyar, İbrahim; Uzun, Kemal; Tataroğlu, Cenk; Cenal, Ali Riza; Akinci, Esat

doi:10.1111/j.1540-8191.2009.00971.x

Cited by 6 publications

(9 citation statements)

References 21 publications

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“…Most authors recommend performing simultaneous CABG in these patients, particularly in multi-vessel coronary artery disease (CAD). 5 In comparison, positive results for rupture CLVA aneurysmectomy have been reported. 8 Treatment is surgical for symptomatic or asymptomatic LVAs larger than 5 cm, particularly when there is comorbid CAD.…”

Section: Discussionmentioning

confidence: 99%

“…The results are often unsatisfactory because this technique causes LV distortion and leaves akinetic/dyskinetic areas in the septum. 5 It cannot adequately improve cardiac function. To overcome these problems, Dor et al removed all of the akinetic/dyskinetic myocardial tissue, including the septum, and isolated the aneurysm cavity from the LV cavity, thereby reducing the dead space and end-diastolic volume of the LV.…”

Section: Discussionmentioning

confidence: 99%

“…To overcome these problems, Dor et al removed all of the akinetic/dyskinetic myocardial tissue, including the septum, and isolated the aneurysm cavity from the LV cavity, thereby reducing the dead space and end-diastolic volume of the LV. 5 C Ci ir rc cu ul la ar r p pa at tc ch h: A convenient method for the back or bottom wall of an LVA. A thrombectomy is done by opening the aneurysm sac and resecting it so that a 2 cm margin remains.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, without narrowing the LV cavity, it allows complete resection of the aneurysm, including subendocardial scar tissue. 5 T Th he e s su ur rg gi ic ca al l a an nt te er ri io or r v ve en nt tr ri ic cu ul la ar r r re es st to or ra at ti io on n ( (S SA AV VE ER R) ) t te ec ch hn ni iq qu ue e: This is a form of the Dor procedure. In this technique, the infarcted tissue in the anterior wall of the LV is cut parallel to the LAD and the intraventricular space is examined.…”

Section: Discussionmentioning

confidence: 99%

“…6 For patients with an aneurysmectomy and endoventricular circular patch-plasty, Tekümit et al reported that at the end of 1 year, the mean LVEDV decreased from 88.9 to 56.1 mL/m 2 and the mean EF improved from 30.8% to 42.6%. 5 It has been reported that patient mortality increases when CABG and aneurysmectomy are performed simultaneously in patients with a calcified LVA. 7 CABG is an important component of LVA surgery and it is performed in 68-100% of patients with an LVA.…”

Section: Discussionmentioning

confidence: 99%

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An Extensive Calcified Left Ventricular Aneurysm: Case Report

Alur¹,

Güneş²,

Tanrisever³

et al. 2016

Turkiye Klinikleri J Cardiovasc Sci

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calcified left ventricular aneurysm (CLVA) is a mechanical complication that develops after acute transmural necrosis of the myocardium.1 It can lead to angina pectoris, thromboembolism of ventricular origin, ventricular arrhythmia, ventricular pseudoaneurysm or rupture, progressively enlarging aneurysms, congestive heart failure, and death. Its standard treatment is surgical. [1][2][3][4] The aim of surgical treatment of an left ventricular aneurysm (LVA) is to reduce oxygen consumption in the left ventricular (LV) by reducing end-diastolic volume (EDV), creating the ideal ventricle geometry, and preventing thrombus formation.1-4 The surgical results are generally good. This article presents a patient with CLVA in whom we performed surgery.Turkiye Klinikleri J Cardiovasc Sci 2016;28 (1) 39 An Extensive Calcified Left Ventricular Aneurysm: Case Report A AB BS ST TR RA AC CT T A calcified left ventricular aneurysm (CLVA) is a rare, serious complication of acute myocardial infarction. It can lead to angina pectoris, thromboembolism of ventricular origin, ventricular arrhythmia, ventricular pseudoaneurysm or rupture, progressively enlarging aneurysms, congestive heart failure, and death. Treatment is surgical for symptomatic or asymptomatic LVAs larger than 5 cm, particularly when there is comorbid coronay artery disease. Its standard treatment is a ventriculoplasty and aneurysmectomy using the Dor technique. The aim of surgical treatment of an LVA is to reduce oxygen consumption in the LV by reducing end-diastolic volume (EDV), creating the ideal ventricle geometry, and preventing thrombus formation. The surgical results are often good. This article presents a patient with CLVA in whom we performed surgery.K Ke ey y W Wo or rd ds s: : Heart ventricles; heart aneurysm; thoracic surgery Ö ÖZ ZE ET T Kalsifik sol ventrikül anevrizması (KSVA) akut miyokard infarktüsünün nadir ve ciddi bir komplikasyonudur. Bu komplikasyon anjina pektoris, ventriküler kaynaklı tromboemboli, ventriküler aritmi, ventriküler psödoanevrizma veya rüptür, progresif genişleyen anevrizma ve konjestif kalp yetersizliği gibi fatal kardiyak olaylara yol açabilir. Semptomatik veya asemptomatik, 5 cm'den büyük SVA'ların, özellikle eşlik eden koroner arter hastalığı da varsa tedavisi cerrahidir. Standart tedavisi anevrizmektomi ve Dor tekniği ile yapılan ventriküloplastidir. Sol ventrikül anevrizmalarında cerrahi tedavinin amacı, end-diyastolik hacmi (EDH) küçülterek sol ventrikülün oksijen tüketimini (talebini) azaltmak, ventrikülün ideal geometrisini oluşturmak ve trombüs oluşumunu engellemektir. Cerrahi sonuçları çoğunlukla yüz güldürücüdür. Bu yazıda KSVA tanısıyla cerrahi uyguladığımız olgu sunuldu.A An na ah ht ta ar r K Ke el li im me el le er r: : Kalp ventrikülleri; kalp anevrizmasi; göğüs cerrahisi T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J C Ca ar rd di io ov va as sc c S Sc ci i 2 20 01 16 6; ;2 28 8( (1 1) ): :3 39 9--4 42 2

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

An Extensive Calcified Left Ventricular Aneurysm: Case Report

Alur¹,

Güneş²,

Tanrisever³

et al. 2016

Turkiye Klinikleri J Cardiovasc Sci

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Long-Term Survival and Echocardiographic Findings After Surgical Ventricular Restoration

Hobbs

Assi

Bolling

et al. 2019

The Annals of Thoracic Surgery

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Background. This study investigates the long-term survival and durability of mitral procedures on patients undergoing surgical ventricular restoration.Methods. From 1992 to 2017, 109 patients underwent surgical ventricular restoration. Survival was determined from hospital records and the National Death Index. Preoperative demographics, clinical characteristics and features, operative technique, and follow-up echocardiography findings were analyzed using Cox regression and log-rank to determine variables influencing survival.Results. The mean age was 61.57 ± 12.81 years. There were 101 (93%) true and 8 (7%) pseudo-aneurysms. Concomitant surgeries included mitral valve (MV) repair (n [ 40, 37%), MV replacement (n [ 5, 5%), tricuspid valve repair (n [ 4, 4%), aortic valve replacement (n [ 3, 3%), coronary bypass grafting (n [ 76, 70%; 1.6 ± 1.3 grafts), and ventricular septal defect closure (n [ 5, 5%). Redosternotomies were performed in 12 patients (11%). Median duration of echocardiographic follow up was 2.9 years (interquartile range, 9.0) and was obtained in 59 patients

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Clinical and hemodynamic outcomes of the Dor procedure in adults with ischemic cardiomyopathy

Hassanabad

Wiebe

Ali

2021

Journal of Cardiac Surgery

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Ischemic cardiomyopathy continues to be a major contributor to congestive heart failure, which places a significant burden on our healthcare system. Improving medications and different coronary revascularization strategies are the mainstays in the management of ischemic cardiomyopathy. Although medications and mechanical circulatory support are playing an ever‐increasing role, cardiac transplantation remains the gold standard for treating advanced heart failure. Given the small number of available and suitable donor hearts, transplantation is limited for the majority of patients. Surgical ventricular restoration has repeatedly been suggested as a viable alternative in managing heart failure in select patients, as it is believed that surgically returning the ventricle to its original dimensions is possible and associated with favorable outcomes. The purpose of this manuscript is to comprehensively review the current literature on various surgical strategies for ventricular restoration. We also contextualize the published data with respect to ventricular function, volume, structure, arrhythmias, mitral regurgitation, and clinical outcomes.

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

Abstract: LVA repair with Dor procedure can be performed with low mortality. With appropriate repair of LVA and coronary revascularization, patients may have benefit both for survival and also for clinical status.

Cited by 6 publications

References 21 publications

An Extensive Calcified Left Ventricular Aneurysm: Case Report

An Extensive Calcified Left Ventricular Aneurysm: Case Report

Long-Term Survival and Echocardiographic Findings After Surgical Ventricular Restoration

Clinical and hemodynamic outcomes of the Dor procedure in adults with ischemic cardiomyopathy

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