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THE IMPACT OF OPERATIONS ON THE RECONSTRUCTION OF THE LEFT VENTRICLE FUNCTION AND VOLUME INDICES IN PATIENTS WITH POSTINFARCTION ANEURYSM

Abstract

According to literature data, the majority of patients after left ventricular reconstruction surgery (LVRS) for postinfarction left ventricular aneurysm, has improved the function of the LV regardless of the type of plastic that causes clinical enthusiasm, but in the articles on this topic are not reported or discussed the dynamics of stroke volume (SV), which more directly reflects the pumping function of the heart. In those works, which take into account the change SV, its dynamics shows ambiguous. Some researchers have noted a decline in SV, others increase it. The present study examines not only change after LVRS traditional volumetric and functional parameters obtained by MRI, but the magnitude and dynamics of SV and tries to establish its relationship with the original and the changed postoperative left ventricular volume and functional indicators.

About the Authors

T. I. Paramonova
Federation National Center of Cardiovascular Surgery
Russian Federation


V. V. Basylev
Federation National Center of Cardiovascular Surgery
Russian Federation


A. V. Vdovkin
Federation National Center of Cardiovascular Surgery
Russian Federation


V. A. Palkova
Federation National Center of Cardiovascular Surgery
Russian Federation


V. G. Karpuchin
Federation National Center of Cardiovascular Surgery
Russian Federation


References

1. Борисов Н. А. Хирургическое лечение постинфарктной аневризмы левого желудочка / Н. А. Борисов, Л. В. Попов, А. Н. Блеткин // Анналы хирургии.- 2002.- № 3.- С. 14-19.

2. Cooley D. А. Surgical restoration of left ventricular aneurysm // Oper. Tech. Cardiac. Thorac. Surg.- 1997.- Vol. 2.- Р 151-161.

3. Kalon K. The epidemiology of heart failure: the Framingham Study / K. Kalon, L. Ho, J. L. Pinsky et al. // J. of American College of Cardiology.- 1993.- Vol. 22.- Р 6A-13A.

4. Grigioni F. Ischaemic mitral regurgitation / F. Grigioni, M. Enriquez-Sarano, K. J. Zehr et al. // Circulation.- 2001.- Vol. 103.- Р 1759-1764.

5. Athanasuleas C. L. RESTORE group. Surgical ventricular restoration in the treatment of congestive heart failure due to post-infarction ventricular dilation / C. L. Athanasuleas, G. D. Buckberg, A. W Stanley et al. // J. Am Coll Cardiol.- 2004.- Vol. 44.- Р 1439-1445.

6. Annest L. Stroke volume alterations in patients undergoing left ventricular reconstructive surgery: a meta-analysis of 2,131 cases / L. Annest, D. Burkhoff, U. Jorde, A. S. Wechsler // J. Card Fail.- 2007.- Vol. 3.- Р 118.

7. Cirillo M. Determinants of postinfarction remodeling affect outcome and left ventricular geometry after surgical treatment of ischemic cardiomyopathy / M. Cirillo, A. Amaducci, F. Brunelli et al. // J. Thorac Cardiovasc Surg.- 2004.- Vol. 127.- Р 1648-1656.

8. Di Donato M. Surgical ventricular restoration improves mechanical intraventricular dyssynchrony in ischemic cardiomyopathy / M. Di Donato, А. Toso, V Dor et al. // Circulation.- 2004.- Vol. 109.- Р 2536-2543.

9. Athanasuleas C. L. Surgical anterior ventricular endocardial restoration (SAVER) in the dilated remodeled ventricle after anterior myocardial infarction. RESTORE group. Reconstructive Endoventricular Surgery, returning Torsion Original Radius Elliptical Shape to the LV / C. L. Athanasuleas, A. W Jr. Stanley, G. D. Buckberg et al. // J. Am Coll Cardiol.- 2001.- Vol. 37.- Р 1199-1209.

10. Dor V. Endoventricular patch reconstruction in large ischemic wall-motion abnormalities / V. Dor, M. Sabatier, F. Montiglio et al. // J. Card Surg.- 1999.- Vol. 14.- Р 46-52.

11. Шабалкин Б. В. Прогнозирование послеоперационной сердечной недостаточности при хирургическом лечении аневризм сердца / Б. В. Шабалкин, И. Х. Рабкин, Ю. В. Белов и др. // Кровоснабжение, метаболизм и функция органов при реконструктивных операциях.- Ереван, 1984.- С. 166-168.

12. Kreitner K-F. Leitlinien für den Einsatz der MR-Tomographi in der Herzdiagnostik / K.-F. Kreitner, J. Sandstede // Fortschr Roentgenstr.- 2004.- Vol. 176.- Р 1185-1193.

13. Белов Ю. В. Постинфарктное ремоделирование левого желудочка сердца: от концепции к хирургическому лечению / Ю. В. Белов, В. А. Вараксин.- М., 2002.

14. Dor V. Favorable effects of left ventricular reconstruction in patients excluded from the Surgical Treatments for Ischemic Heart Failure (STICH) trial / V. Dor, F. Civaia, С. Alexandrescu et al. // J. Thorac Cardiovasc Surg.- 2011.- Vol. 141.- Р 905-916.

15. Бокерия Л. А. Хирургическое лечение больных с постинфарктными аневризмами сердца и сопутствующими тахиаритмиями / Л. А. Бокерия, Г. Г. Федоров // Грудная и серд.-сосуд. хир.- 1994.- № 4.- С. 4-8.

16. Cooley D. А. Repair of post-infarction aneurysm of the left ventricle// Cardiac surgery: state of the art reviews.- Vol. 4, № 2.- Philadelphia: Hanley and Belfus, 1990.- P 309.

17. Dor V. Clinical, hemodynamic, and electrophysiologic results of 207 left ventricular patch reconstructions for infarction left ventricular aneurysm / V Dor, M. Sabatier, F Montiglio et al. // Presented at the 72nd Annual Meeting of the American Association for Thoracic Surgery, Los Angeles, CA, April, 1992.- P 26-29.

18. Dor V. Efficacy of endoventricular patchplasty in large post-infarction akinetic scar and severe left ventricular dysfunction: comparison with a series of large dyskinetic scars / V. Dor, М. Sbatier, M. DiDonato et al. // J. Thorac Cardiovasc Surg.- 1998.- Vol. 116.- Р 50-59.

19. Di Donato M. Acquired Cardiovascular Disease. Impact of surgical ventricular reconstruction on stroke volume in patients with ischemic cardiomyopathy / Di Donato M., Fantini F., Toso A. et al. // J. Thorac Cardiovasc Surg.- 2010.- Vol. 140.- Р 1325-1331.

20. Di Donato M. End-systolic volume following surgical ventricular reconstruction impacts survival in patients with ischaemic dilated cardiomyopathy / М. Di Donato, S. Castelvecchio, L. Menicanti // Eur J. Heart Fail.- 2010.- Vol. 12.- P 375-381.


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For citations:


Paramonova T.I., Basylev V.V., Vdovkin A.V., Palkova V.A., Karpuchin V.G. THE IMPACT OF OPERATIONS ON THE RECONSTRUCTION OF THE LEFT VENTRICLE FUNCTION AND VOLUME INDICES IN PATIENTS WITH POSTINFARCTION ANEURYSM. Diagnostic radiology and radiotherapy. 2015;(2):74-81. (In Russ.)

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ISSN 2079-5343 (Print)