Surgical treatment of left ventricular post-infarction aneurysm with endoventriculoplasty: late clinical and functional results1

Mattia, D. G. Di; Biasi, Pietro Di; Salati, Maurizio; Mangini, Andrea; Fundarò, P; Santoli, C

doi:10.1016/s1010-7940(99)00077-9

Cited by 23 publications

(16 citation statements)

References 19 publications

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“…The linear repair technique cannot exclude the septal scar, and also carries the risk of creating a restrictive residual LV cavity, especially in large aneurysms, leading to diastolic dysfunction and LV failure [27,78,79]. Sizing of the residual LV cavity in EVR, either by an intracavitary balloon or a commercially available shaper device to a volume of 50-60 ml/m 2 BSA avoids creating a residual LV cavity that is restrictive [9,29,39].…”

Section: Surgical Techniques and Mortalitymentioning

confidence: 99%

Early and late outcome of left ventricular reconstruction surgery in ischemic heart disease

Klein

Bax

Shaw³

et al. 2008

European Journal of Cardio-Thoracic Surgery

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A systematic review of the literature was performed to determine early and late mortality associated with left ventricular (LV) reconstruction surgery and to assess the influence of different surgical techniques, concomitant surgical procedures, clinical and hemodynamic parameters on mortality. The MEDLINE database (January 1980-January 2005) was searched and from the pooled data, hospital mortality and survival were calculated. Summary estimates of relative risks (RR) were calculated for the techniques that were used and for concomitant coronary artery bypass grafting (CABG) and mitral valve surgery. The risk-adjusted relationships between mortality and clinical and hemodynamic parameters were assessed by meta-regression. A total of 62 studies (12,331 patients) were identified. Weighted average early mortality was 6.9%. Cumulative 1-year, 5-year and 10-year survival were 88.5%, 71.5% and 53.9%, respectively. Endoventricular reconstruction (EVR) showed a reduced risk for both early (RR=0.79, p<0.005) and late (RR=0.67, p<0.001) mortality compared to the linear repair (early: RR=1.38, p<0.001; late: RR=1.83, p<0.001). Early and late mortality were mainly cardiac in origin, with as predominant cause heart failure in respectively 49.7% and 34.5% of the cases. Ventricular arrhythmias caused 16.6% of early deaths and 17.2% of late deaths. Concomitant CABG significantly decreased late mortality (RR=0.28, p<0.001) without increasing early mortality (RR=1.018, p=0.858). Concomitant mitral valve surgery showed both an increased risk for early (RR=1.57, p=0.001) and late mortality (RR=4.28, p<0.001). No clinical or hemodynamic parameters were found to influence mortality. It is noteworthy that only one third of patients included in the current analysis were operated for heart failure (14 studies, 4135 patients). In this group we noted an early mortality of 11.0% with a late mortality (3-year) of 15.2%. This analysis of pooled literature data showed that LV reconstruction surgery is performed with acceptable mortality and EVR may be the preferred technique with a reduced risk for early and late mortality. Concomitant CABG improved outcome, whereas the need for mitral valve surgery appeared an index of gravity. No clinical or hemodynamic parameters were found to influence mortality; specifically LV ejection fraction and LV volumes both did not predict outcome.

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Section: Surgical Techniques and Mortalitymentioning

confidence: 99%

Early and late outcome of left ventricular reconstruction surgery in ischemic heart disease

Klein

Bax

Shaw³

et al. 2008

European Journal of Cardio-Thoracic Surgery

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“…Among them, 18 trials [3-6, 9 -27] were identified and included in the analysis with a total of 1,814 and 803 patients who underwent linear and geometric reconstruction, respectively. The remaining five studies were excluded for uncertainty on reporting of perioperative results based on group assignment to linear or to geometric repair [23][24][25], for duplicate publication [26], or because the number of patients was lower than 10 in one of the treatment arms [27].…”

Section: Resultsmentioning

confidence: 99%

Surgery of Left Ventricular Aneurysm: A Meta-Analysis of Early Outcomes Following Different Reconstruction Techniques

Parolari

Naliato

Loardi

et al. 2007

The Annals of Thoracic Surgery

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The Annals of Thoracic Surgery CME Program is located online at http://cme.ctsnetjournals.org. To take the CME activity related to this article, you must have either an STS member or an individual nonmember subscription to the journal. Background. The purpose of this study is to assess the effects of linear and geometric left ventricular aneurysm reconstruction on early postoperative outcomes. Surgery of LeftMethods. A search of computerized databases supplemented with manual bibliographic review was performed for all peer-reviewed English language publications concerning randomized and nonrandomized studies reporting the results of left ventricular reconstruction after both linear and geometric reconstruction techniques. Meta-analyses of several short-term outcomes were performed.Results. No randomized trial was identified. Eighteen nonrandomized trials were found with a total of 1,814 and 803 patients who underwent linear and geometric reconstruction, respectively. Meta-analysis of all studies (n ‫؍‬ 18) revealed an increased risk of in-hospital death for patients undergoing linear reconstruction (relative risk ‫؍‬ 1.59, 95% confidence interval: 1.12 to 2.26, p ‫؍‬ 0.01).

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“…(7). Di Mattia et al have suggested that a postoperative symmetrical contraction pattern is prognostic for a better hemodynamic trend in the long-term follow-up (8). Endoventriculoplasty using autologous endocardium, as a modification of the Dor technique, restores the ventricular geometry without leaving any segment of noncontractile ventricular wall and avoids the usage of prosthetic materials.…”

Section: Discussionmentioning

confidence: 99%

On-pump Beating Heart Endoventriculoplasty Using Autologous Endocardium For Left Ventricular Aneurysm Repair

Oktar¹,

Gianoli²,

Porta³

et al. 2009

TUTFD

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Surgical treatment of left ventricular post-infarction aneurysm with endoventriculoplasty: late clinical and functional results1

Cited by 23 publications

References 19 publications

Early and late outcome of left ventricular reconstruction surgery in ischemic heart disease

Early and late outcome of left ventricular reconstruction surgery in ischemic heart disease

Surgery of Left Ventricular Aneurysm: A Meta-Analysis of Early Outcomes Following Different Reconstruction Techniques

On-pump Beating Heart Endoventriculoplasty Using Autologous Endocardium For Left Ventricular Aneurysm Repair

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