title: [Preserving autologous heart operation for ischemic cardiomyopathy].
abstract: OBJECTIVE
  We report our surgical procedure (preserving autologous heart operation) for the patients with ischemic cardiomyopathy (ICM), and the results.
  
  
  METHODS
  Since May 2000, 212 patients received surgical procedure for ten years.
  
  
  METHODS
  We performed complete coronary artery bypass grafting (CABG), mitral surgery (plasty or replacement) for the patients with more than mild mitral regurgitation. We performed papirally muscle plication since 2005, and we performed 2nd chordal cutting since 2008, for the patients with mitral regurgitation (MR) due to severe mitral tethering. The surgical left ventricular reconstruction (SVR) was performed for the patients with dilated left ventricular. We use speckle tracking echocardiography to decide the type of the procedure of surgical left ventricular reconstruction since 2008.
  
  
  RESULTS
  Hospital death was 8.0%, and late death was 9.9%. Almost of the cause of death was congestive heart failure and ventricular arrhythmia. Five years survival was 78%, 10 years survival was 73%.
  
  
  CONCLUSIONS
  The non transplant surgery for the patient with ICM was effective with the combination of CABG, mitral valve plasty (MVP) or mitral valve replacement (MVR), SVR. The size of left ventricle (LV) after SVR seemed to be a factor for late outcome of the surgery.
authors: Department of Cardiovascular Surgery, Hayama Heart Center, Kanagawa, Japan.
authors: Joji
authors: J
authors: Hoshino
authors: Yasuhisa
authors: Y
authors: Fukada
authors: Masanori
authors: M
authors: Hirota
authors: Shintaro
authors: S
authors: Katahira
authors: Takayuki
authors: T
authors: Gyoten
authors: Tadashi
authors: T
authors: Isomura
mesh_terms: D002311:Cardiomyopathy, Dilated / Q000601:surgery*; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000601:surgery; D017202:Myocardial Ischemia / Q000150:complications; D059351:Organ Sparing Treatments; D016896:Treatment Outcome