Left ventricular free-wall plication for ischemic cardiomyopathy: safe and effective?
In 10 patients, a free-wall plication of inferior or lateral scar was performed. The procedure was done on cardiopulmonary bypass and aortic cross-clamping by means of four or five wide U-stitches. Six patients underwent concomitant mitral annuloplasty and one mitral valve replacement. One patient died postoperatively. There was a sudden and significative end-systolic volume reduction with a rise in ejection fraction. These hemodynamic benefits were partially lost during the follow-up but the mitral regurgitation grade remained unchanged.
Salati
Maurizio
M
Department of Cardiac Surgery, University of Milan, IRCCS Multimedica, Sesto S. Giovanni, Italy. maurizio.salati@fastwebnet.it <maurizio.salati@fastwebnet.it>
DiMauro
Alessandra
A
D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures; D009202:Cardiomyopathies / Q000209:etiology / Q000601:surgery*; D005260:Female; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D012189:Retrospective Studies; D013536:Suture Techniques