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Elective operations for left ventricular asynergy.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Gerbode, Frank L. A. Kerth, William J. Hill, J. Donald Banerjee, Saswati Marcelletti, Carlo F. |
| Copyright Year | 1974 |
| Abstract | Gerbode, F., Kerth, W. J., Hill, J. D., Banerjee, S., and Marcelletti, C. (1974). Thorax, 29, 282-286. Elective operations for left ventricular asynergy. Operative results in 45 patients with symptomatic left ventricular asynergy are reviewed. The main symptoms were congestive heart failure in 77-7%, angina in 3141%, arrhythmias in 11-1%, and systemic thromboembolism in 2 2% of the patients. All patients had left heart catheterization, 40 had left ventricular angiography, and 27 had selective coronary arteriography. The last myocardial infarction occurred within three months preoperatively in 15 patients and more than 13 months prior to surgery in 27 patients. The cardiac index was 1-5 l/m2/min or less in six patients and the left ventricular end diastolic (LVED) pressure was 25 mmHg or higher in 15 patients. All patients were operated upon electively with the use of cardiopulmonary bypass. Excision of the left ventricular aneurysm was performed in 39 cases and plication in six. The immediate survival rate was 66 6%. The lowest mortality rate was among patients with angina (12-5%) and the highest in those with association of congestive heart failure and angina (66-6%). The mortality rates among patients with recent or old myocardial infarction were 46-6 and 22-2% respectively. One of the six patients with a cardiac index of 1-5 l/m2/min or less and seven of the 15 patients with LVED pressure of 25 mmHg or higher were discharged from hospital. It is concluded that ventricular aneurysmectomy has to be considered an elective procedure in order to obtain predictable results and that ideal indications for operation |
| Starting Page | 273 |
| Ending Page | 276 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://thorax.bmj.com/content/thoraxjnl/29/3/282.full.pdf |
| PubMed reference number | 4851802v1 |
| Volume Number | 29 |
| Issue Number | 3 |
| Journal | Thorax |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Angina Pectoris Arteriography Cardiac Catheterization Procedures Cardiopulmonary Bypass Catheterization of left heart Coronary angiography Diastole HL7PublishingSubSection |
| Content Type | Text |
| Resource Type | Article |
