Avtor/Urednik		Radovanović, N; Petrovič, L; Zorc, M; Mihajilović, B; Kovač, M; Nicin, S; Popov, M; Torbica, V; Uscumlič-Kovačevič, D
Naslov		Changes in left ventricular morphology and function in end-stage dilated cardiomyopathy after reductive annuloplasty of double mitral and tricuspid orifices
Tip		članek
Vir		J Card Surg
Vol. in št.		Letnik 17, št. 3
Leto izdaje		2002
Obseg		str. 201-4
Jezik		eng
Abstrakt		Background and aim: The aim of this study is to show the changes in left ventricular morphology and function after reductive annuloplasty of double mitral and tricuspid orifices (RADO) in ischemic dilated cardiomyopathy (IDCM) and primary dilated cardiomyopathy (PDCM) analyzed by intraoperative transesophageal echocardiography (TEE). Methods: There were 274 patients, mean age 50.1 years, 188 operated due to IDCM with ejection fraction under 30%, and 86 patients due to PDCM. Mitral annuloplasty according to A. Carpentier and our own procedure was done in 49 and 225 patients, respectively. In 265 cases (97%) our modified De Vega's tricuspid annuloplasty was performed. Results and conclusion: RADO significantly changes left ventricular morphology, reverses remodeling of the heart, decreases sphericity of the left heart, improves hemodynamic function of both ventricles, and slows down progression of cardiac failure. We recommend RADO in the early stage of PDCM, immediately after the first decompensation, and as an important associated procedure in IDCM.
Deskriptorji		CARDIOMYOPATHY, CONGESTIVE EXTRACORPOREAL CIRCULATION MITRAL VALVE TRICUSPID VALVE VENTRICULAR FUNCTION, LEFT SEX FACTORS MIDDLE AGE ECHOCARDIOGRAPHY, TRANSESOPHAGEAL HEART VENTRICLE MITRAL VALVE INSUFFICIENCY STROKE VOLUME TREATMENT OUTCOME TRICUSPID VALVE INSUFFICIENCY