Application of Circular Patch Plasty (Dor Procedure) or Linear Repair Techniques in the Treatment of Left Ventricular Aneurysms
Abstract Objective: The aim of this study was to evaluate early clinical outcomes and echocardiographic measurements of the left ventricle in patients who underwent left ventricular aneurysm repair using two different techniques associated to myocardial revascularization. Methods: Eighty-nine pati...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
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| Series: | Brazilian Journal of Cardiovascular Surgery |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382018000200135&lng=en&tlng=en |
| _version_ | 1818231375370649600 |
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| author | Ugur Kaya Abdurrahim Çolak Necip Becit Munacettin Ceviz Hikmet Kocak |
| author_facet | Ugur Kaya Abdurrahim Çolak Necip Becit Munacettin Ceviz Hikmet Kocak |
| author_sort | Ugur Kaya |
| collection | DOAJ |
| description | Abstract Objective: The aim of this study was to evaluate early clinical outcomes and echocardiographic measurements of the left ventricle in patients who underwent left ventricular aneurysm repair using two different techniques associated to myocardial revascularization. Methods: Eighty-nine patients (74 males, 15 females; mean age 58±8.4 years; range: 41 to 80 years) underwent post-infarction left ventricular aneurysm repair and myocardial revascularization performed between 1996 and 2016. Ventricular reconstruction was performed using endoventricular circular patch plasty (Dor procedure) (n=48; group A) or linear repair technique (n=41; group B). Results: Multi-vessel disease in 55 (61.7%) and isolated left anterior descending (LAD) disease in 34 (38.2%) patients were identified. Five (5.6%) patients underwent aneurysmectomy alone, while the remaining 84 (94.3%) patients had aneurysmectomy with bypass. The mean number of grafts per patient was 2.1±1.2 with the Dor procedure and 2.9±1.3 with the linear repair technique. In-hospital mortality occurred in 4.1% and 7.3% in group A and group B, respectively (P>0.05). Conclusion: The results of our study demonstrate that post-infarction left ventricular aneurysm repair can be performed with both techniques with acceptable surgical risk and with satisfactory hemodynamic improvement. |
| first_indexed | 2024-12-12T10:49:23Z |
| format | Article |
| id | doaj.art-3cfcce0ce90649e29ad0a20a5139e79c |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-12-12T10:49:23Z |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-3cfcce0ce90649e29ad0a20a5139e79c2022-12-22T00:26:48ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-974133213514210.21470/1678-9741-2017-0093S0102-76382018000200135Application of Circular Patch Plasty (Dor Procedure) or Linear Repair Techniques in the Treatment of Left Ventricular AneurysmsUgur KayaAbdurrahim ÇolakNecip BecitMunacettin CevizHikmet KocakAbstract Objective: The aim of this study was to evaluate early clinical outcomes and echocardiographic measurements of the left ventricle in patients who underwent left ventricular aneurysm repair using two different techniques associated to myocardial revascularization. Methods: Eighty-nine patients (74 males, 15 females; mean age 58±8.4 years; range: 41 to 80 years) underwent post-infarction left ventricular aneurysm repair and myocardial revascularization performed between 1996 and 2016. Ventricular reconstruction was performed using endoventricular circular patch plasty (Dor procedure) (n=48; group A) or linear repair technique (n=41; group B). Results: Multi-vessel disease in 55 (61.7%) and isolated left anterior descending (LAD) disease in 34 (38.2%) patients were identified. Five (5.6%) patients underwent aneurysmectomy alone, while the remaining 84 (94.3%) patients had aneurysmectomy with bypass. The mean number of grafts per patient was 2.1±1.2 with the Dor procedure and 2.9±1.3 with the linear repair technique. In-hospital mortality occurred in 4.1% and 7.3% in group A and group B, respectively (P>0.05). Conclusion: The results of our study demonstrate that post-infarction left ventricular aneurysm repair can be performed with both techniques with acceptable surgical risk and with satisfactory hemodynamic improvement.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382018000200135&lng=en&tlng=enHeart Ventricles/SurgeryHeart AneurysmMyocardial RevascularizationCoronary Artery BypassCardiac Surgical Procedures/Methods |
| spellingShingle | Ugur Kaya Abdurrahim Çolak Necip Becit Munacettin Ceviz Hikmet Kocak Application of Circular Patch Plasty (Dor Procedure) or Linear Repair Techniques in the Treatment of Left Ventricular Aneurysms Brazilian Journal of Cardiovascular Surgery Heart Ventricles/Surgery Heart Aneurysm Myocardial Revascularization Coronary Artery Bypass Cardiac Surgical Procedures/Methods |
| title | Application of Circular Patch Plasty (Dor Procedure) or Linear Repair Techniques in the Treatment of Left Ventricular Aneurysms |
| title_full | Application of Circular Patch Plasty (Dor Procedure) or Linear Repair Techniques in the Treatment of Left Ventricular Aneurysms |
| title_fullStr | Application of Circular Patch Plasty (Dor Procedure) or Linear Repair Techniques in the Treatment of Left Ventricular Aneurysms |
| title_full_unstemmed | Application of Circular Patch Plasty (Dor Procedure) or Linear Repair Techniques in the Treatment of Left Ventricular Aneurysms |
| title_short | Application of Circular Patch Plasty (Dor Procedure) or Linear Repair Techniques in the Treatment of Left Ventricular Aneurysms |
| title_sort | application of circular patch plasty dor procedure or linear repair techniques in the treatment of left ventricular aneurysms |
| topic | Heart Ventricles/Surgery Heart Aneurysm Myocardial Revascularization Coronary Artery Bypass Cardiac Surgical Procedures/Methods |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382018000200135&lng=en&tlng=en |
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