Partial Left Ventriculectomy: The 2nd International Registry Report 2000

Kawaguchi, Akira T.; Suma, Hisayoshi; Konertz, Wolfgang; Popović, Zoran B.; Dowling, Robert D.; Kitamura, Soichiro; Bergsland, Jacob; Linde, Leonard M.; Koide, Shirosaku; Batista, Randas J.V.

doi:10.1111/j.1540-8191.2001.tb00478.x

Cited by 24 publications

(35 citation statements)

References 20 publications

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“…They recommended that mitral valve repair should be undertaken at the time of the SVR surgery if necessary. Correction of preoperative MR alone without SVR failed to improve survival [8,13,14]. Patients who underwent mitral valve annuloplasty had greater improvement in parameters of LV function (LVEF, LVEDD, LVESD) than patients who did not undergo annuloplasty with SVR [23].…”

Section: Procedures Selectionmentioning

confidence: 98%

“…As the International Registry reported, signifi cantly poorer outcomes occurred in the initial 5 cases at each hospital as compared to the 30th or more cases at the same hospital. This later improvement demonstrated the existence of a learning curve for the hospital surgical staff [13,14].…”

Section: Procedures Selectionmentioning

confidence: 99%

“…International Registry Reports identifi ed multiple factors that did not infl uence the outcome of SVR [13,14]. Gender, body surface area and age were not signifi cant in determining survival.…”

Section: Patient Selection and Prediction Of Morbidity And Mortalitymentioning

confidence: 99%

“…Further analysis showed that poorer outcomes were associated with worse preoperative patient condition, as indicated by NYHA Class IV, LV fractional shortening <5% and severe MR (grade >2) [13,14]. Recently, Bove et al identifi ed EuroSCORE (a cardiac surgical risk prediction model), preoperative LVEDV index, LVESV index, NYHA functional class and associated non-cardiac morbidity as signifi cant risk factors by univariate analysis, but only EuroSCORE remained a signifi cant risk when multivariate analysis, which is a more appropriate statistical test for any outcome that can be infl uenced by multiple factors, was used [10].…”

Section: Patient Selection and Prediction Of Morbidity And Mortalitymentioning

confidence: 99%

“…Smaller ventricles requiring less myocardial resection had better postoperative survival. However, if papillary muscles and mitral apparatus are excised a poorer survival was observed [13,14]. New procedures to reduce LV wall stress are illustrated in Figure 1 and described below [4]:…”

Section: Procedures Selectionmentioning

confidence: 99%

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Review of surgical ventricular restoration: A procedure to treat cardiac failure

Sule

Fred

et al. 2010

Indian J Surg

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Severe heart failure refractory to medical treatment necessitates the use of other modalities of treatment. Surgical ventricular restoration (SVR) surgery can provide relief until donour hearts are available or when transplantation is contraindicated. In this review we look at the physiological basis for improvement in cardiac function and cardiac and haemodynamic changes that occur after SVR. We also compile the reported factors affecting surgical outcome, criteria for patient selection and predictors of postoperative mortality. NYHA class, presence of diastolic failure, severe impairment of contractile function and presence of mitral regurgitation were the most important determinants. Various different procedures for achieving SVR are briefl y discussed. Importance of mitral valve repair/replacement, coronary artery bypass grafting and intraoperative echocardiography in improving postoperative result is highlighted. Role of perioperative medication (anti-arrhythmics, ACE inhibitors and β-blockers) is briefl y studied at the end of the review.

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