| Author/Editor | Radovanović, Ninoslav | |
| Title | The surgical option for end stage end-stage heart failure - RADO operation | |
| Type | članek | |
| Source | In: Pajer Z, Štiblar-Martinčič D, editors. International symposium on cardiovascular diseases. Proceedings of the 29th memorial meeting devoted to prof. dr. Janez Plečnik; 1998 Dec 3-5; Ljubljana. Ljubljana: Medical faculty, Institute of histology and embryology, | |
| Publication year | 1998 | |
| Volume | str. 309-35 | |
| Language | eng | |
| Abstract | Patients with dilated cardiomyopathy (DCM) represent a huge remodeling of the fibrous skeleton of the heart with mitral and tricuspid annulus dilatation and consecutive mitral and tricuspid regurgitation. Remodeling of the fibrous skeleton of the base of the heart is an important part of remodeling of the left ventricle. Medical treatment of these patients is not successful. The aim of this study is to show hemodynamic and clinical improvement after Reductive Annuloplastly of Double (mitral and tricuspid) Orifices (RADO) in ischemic dilated cardiomyopathy (IDCM) and primary dilated cardiomyopathy (PDCM). There were 211 patients (180 males, 31 females), mean age 53.4 years, 146 pts (69%) operated due to IDCM with ejection fraction (EF) under 30% and 65 pts (31%) due to PDCM. Out 211 pts, 70% were in NYHA class IV and 75% had previous cardiac decompensation. The mean ejection fraction was 22.6%. Mean value to left ventricular diastolic internal diameter (LVIDd) in IDCM was 7.0 cm and in PDCM was 7.3 cm. Mean value of mitral annulus area (MAA) in IDCM was 9.0 cm2 and in PDCM was 8.6 cm2. Mitral annuloplasty according to A. Carpentier and our own procedure were done in 39 and 172 pts, respectively. In 203 (96%) cases our modified De Vega's tricuspid annuloplasty was perforned. Myocardial revascularisation was done in all 146 pts with IDCM. The analysis of hemodynamic parameters, using Swan-Ganz catheter and thermodilution method, was made in the period prior to the surgical intervention, before extracorporeal circulation (ECC) and after the corection of mitral and tricuspid regurgitation (immediately after ECC, 24 and 42 hour sfrom ECC). THe results show statistically significant improvement (p<0.01) after operation:(Abstract truncated at 2000 characters) | |
| Descriptors | CARDIOMYOPATHY, CONGESTIVE TRICUSPID VALVE INSUFFICIENCY MITRAL VALVE INSUFFICIENCY MYOCARDIAL REVASCULARIZATION CARDIAC OUTPUT, LOW ECHOCARDIOGRAPHY, TRANSESOPHAGEAL SURVIVAL RATE |