Matches in SemOpenAlex for { <https://semopenalex.org/work/W2007643485> ?p ?o ?g. }
Showing items 1 to 95 of
95
with 100 items per page.
- W2007643485 endingPage "210" @default.
- W2007643485 startingPage "199" @default.
- W2007643485 abstract "Abstract Background: Ischemic cardiomyopathy can be the result of large or small my-ocardial infarctions or due to myocardial hibernation. Patients with an end-systolic volume index >100 mL/m2 do not benefit from revascularization alone and require an operation that reduces ventricular volume. Various approaches to reduce ventricular volume have been described. We applied several of these techniques in patients with end-stage ischemic cardiomyopathy. Methods: Forty eight patients with end-stage ischemic cardiomyopathy (Class III-IV) underwent left ventricular volume reduction operations with coronary revascularization and mitral valve repair or Alfieri valvoplasty. Fourteen patients underwent interpapil-lary resections, 22 anterior resections, 4 posterior resections, 2 anterior and posterior resections, and 6 patients reduction of left ventricular volume with endocavitary patches. Results: All the techniques used improved left ventricular function. Analysis of mortality revealed that extensive resections (interpapillary, anterior, and posterior resection) had a 43% mortality. However, a limited resection or a ventricular reconstruction with an endocavitary patch had only a 12.5% mortality. When we changed our approach to a more conservative one, mortality was reduced from 26% the first 12 months to 13% in the last 15 months of the study. Conclusions: Ischemic cardiomyopathy has a poor prognosis if the end-systolic volume index exceeds 100 mL/m2. Various procedures exist to reduce left ventricular volume. Extensive ventricular resections improve ventricular function, but have a high mortality. This led us to use other methods of ventricular volume reduction such as more conservative resections combined with left ventricular reconstructions or ventricular volume reduction with endocavitary patches. Mortality was reduced significantly by this approach. The patients that survived have remained Class I-II in a follow-up that extends up to 30 months. Surgical therapy of Class III-IV ischemic cardiomyopathy is feasible, but aggressive ventricular resections have a high mortality. We advocate a more reconstructive approach with limited or no ventricular resection." @default.
- W2007643485 created "2016-06-24" @default.
- W2007643485 creator A5002179170 @default.
- W2007643485 creator A5015009886 @default.
- W2007643485 creator A5016706304 @default.
- W2007643485 creator A5018707196 @default.
- W2007643485 creator A5035384554 @default.
- W2007643485 creator A5045244070 @default.
- W2007643485 creator A5082041990 @default.
- W2007643485 date "1985-05-01" @default.
- W2007643485 modified "2023-10-18" @default.
- W2007643485 title "Left Ventricular Volume Reduction and Reconstruction in Ischemic Cardiomyopathy" @default.
- W2007643485 cites W134010487 @default.
- W2007643485 cites W1963633148 @default.
- W2007643485 cites W1966875573 @default.
- W2007643485 cites W1967816569 @default.
- W2007643485 cites W1968233943 @default.
- W2007643485 cites W1985663481 @default.
- W2007643485 cites W1989680480 @default.
- W2007643485 cites W1990459277 @default.
- W2007643485 cites W1996931476 @default.
- W2007643485 cites W2000905509 @default.
- W2007643485 cites W2011462508 @default.
- W2007643485 cites W2017143884 @default.
- W2007643485 cites W2025311455 @default.
- W2007643485 cites W2032229187 @default.
- W2007643485 cites W2039067945 @default.
- W2007643485 cites W2045604427 @default.
- W2007643485 cites W2050202539 @default.
- W2007643485 cites W2059388842 @default.
- W2007643485 cites W2059878261 @default.
- W2007643485 cites W2093987869 @default.
- W2007643485 cites W2094722328 @default.
- W2007643485 cites W2105140175 @default.
- W2007643485 cites W2146134795 @default.
- W2007643485 cites W2154915616 @default.
- W2007643485 cites W2156920534 @default.
- W2007643485 cites W2411604115 @default.
- W2007643485 cites W2773056814 @default.
- W2007643485 cites W4247361102 @default.
- W2007643485 cites W67641659 @default.
- W2007643485 doi "https://doi.org/10.1111/j.1540-8175.1985.tb01277.x" @default.
- W2007643485 hasPublicationYear "1985" @default.
- W2007643485 type Work @default.
- W2007643485 sameAs 2007643485 @default.
- W2007643485 citedByCount "0" @default.
- W2007643485 crossrefType "journal-article" @default.
- W2007643485 hasAuthorship W2007643485A5002179170 @default.
- W2007643485 hasAuthorship W2007643485A5015009886 @default.
- W2007643485 hasAuthorship W2007643485A5016706304 @default.
- W2007643485 hasAuthorship W2007643485A5018707196 @default.
- W2007643485 hasAuthorship W2007643485A5035384554 @default.
- W2007643485 hasAuthorship W2007643485A5045244070 @default.
- W2007643485 hasAuthorship W2007643485A5082041990 @default.
- W2007643485 hasConcept C126322002 @default.
- W2007643485 hasConcept C141071460 @default.
- W2007643485 hasConcept C164705383 @default.
- W2007643485 hasConcept C2775932942 @default.
- W2007643485 hasConcept C2778198053 @default.
- W2007643485 hasConcept C2778797674 @default.
- W2007643485 hasConcept C2779464278 @default.
- W2007643485 hasConcept C500558357 @default.
- W2007643485 hasConcept C71924100 @default.
- W2007643485 hasConcept C78085059 @default.
- W2007643485 hasConceptScore W2007643485C126322002 @default.
- W2007643485 hasConceptScore W2007643485C141071460 @default.
- W2007643485 hasConceptScore W2007643485C164705383 @default.
- W2007643485 hasConceptScore W2007643485C2775932942 @default.
- W2007643485 hasConceptScore W2007643485C2778198053 @default.
- W2007643485 hasConceptScore W2007643485C2778797674 @default.
- W2007643485 hasConceptScore W2007643485C2779464278 @default.
- W2007643485 hasConceptScore W2007643485C500558357 @default.
- W2007643485 hasConceptScore W2007643485C71924100 @default.
- W2007643485 hasConceptScore W2007643485C78085059 @default.
- W2007643485 hasIssue "3" @default.
- W2007643485 hasLocation W20076434851 @default.
- W2007643485 hasOpenAccess W2007643485 @default.
- W2007643485 hasPrimaryLocation W20076434851 @default.
- W2007643485 hasRelatedWork W1971300170 @default.
- W2007643485 hasRelatedWork W2035508778 @default.
- W2007643485 hasRelatedWork W2093528096 @default.
- W2007643485 hasRelatedWork W2102783927 @default.
- W2007643485 hasRelatedWork W2108793495 @default.
- W2007643485 hasRelatedWork W2121616185 @default.
- W2007643485 hasRelatedWork W2156059732 @default.
- W2007643485 hasRelatedWork W2166608755 @default.
- W2007643485 hasRelatedWork W2252870866 @default.
- W2007643485 hasRelatedWork W2776256109 @default.
- W2007643485 hasVolume "2" @default.
- W2007643485 isParatext "false" @default.
- W2007643485 isRetracted "false" @default.
- W2007643485 magId "2007643485" @default.
- W2007643485 workType "article" @default.