Resultado tardio da cirurgia de endoventriculoplastia em áreas acinéticas e discinéticas pós-infarto agudo do miocárdio
Late results of endoventricular patch plasty repair in akinetic and dysknetic areas after acute myocardial infaction
| dc.creator | Prates, Paulo Roberto Lunardi | |
| dc.creator | Homsi-Neto, Abud | |
| dc.creator | Lovato, Lucas Maynard | |
| dc.creator | Teixeira Filho, Guaracy F. | |
| dc.creator | Sant'Anna, João Ricardo Michielin | |
| dc.creator | Yordi, Luis Maria | |
| dc.creator | Kalil, Renato Abdala Karam | |
| dc.creator | Nesralla, Ivo Abrahao | |
| dc.date | 2010-04-16T09:11:34Z | |
| dc.date | 2002 | |
| dc.identifier | 0066-782X | |
| dc.identifier | http://hdl.handle.net/10183/19776 | |
| dc.identifier | 000408635 | |
| dc.description | Objective - To assess the surgical results of endoventricular patch plasty repair in akinetic and dyskinetic left ventricular areas. Methods - We studied 52 patients who had undergone endoventricular patch plasty repair associated with myocardial revascularization. The preoperative functional class distribution was as follows: class I in 1 (1.9%) patient; class II in 2 (3.8%) patients; class III in 23 (44.2%) patients; and class IV in 26 (50%) patients. Results - The immediate mortality rate was 7.6% (4 patients). The clinical outcome of 44 patients followed up within a mean postoperative time of 29±25 months was as follows: class I in 33 (75%) patients; class II in 7 (15.9%) patients; class III in 2 (4.5%) patients; and class IV in 2 (4.5%) patients. Comparison between pre- and postoperative catheterization in 21 patients showed that the ejection fraction increased from 46.3% to 51.3% (p=0. 17); the left ventricular systolic volume decreased from 76.4 mL to 57.5 mL, (p=0.078); and the left ventricular diastolic volume decreased from 141.2 mL to 105.8 mL (p=0.0 73). These findings showed the tendency toward improvement, but with nonsignificant results. Conclusion - The technique proved to be effective, to have a low mortality rate, to cause significant clinical improvement, an increase in ejection fraction, and a reduction in left ventricular volumes. | |
| dc.format | application/pdf | |
| dc.language | por | |
| dc.relation | Arquivos brasileiros de cardiologia. Vol. 79, n. 2 (aug. 2002), p. 107-111 | |
| dc.rights | Open Access | |
| dc.subject | Ventricular aneurysm | |
| dc.subject | Ventricular dysfunction | |
| dc.subject | Cardiac surgery | |
| dc.subject | Hemodynamic assessment | |
| dc.subject | Aneurisma cardíaco | |
| dc.subject | Disfunção ventricular | |
| dc.subject | Cirurgia torácica | |
| dc.title | Resultado tardio da cirurgia de endoventriculoplastia em áreas acinéticas e discinéticas pós-infarto agudo do miocárdio | |
| dc.title | Late results of endoventricular patch plasty repair in akinetic and dysknetic areas after acute myocardial infaction | |
| dc.type | Artigo de periódico | |
| dc.type | Nacional |