Author/Editor		Radovanović, N; Petrovič, L; Zorc, M; Mihajilović, B; Kovač, M; Nicin, S; Popov, M; Torbica, V; Uscumlič-Kovačevič, D
Title		Changes in left ventricular morphology and function in end-stage dilated cardiomyopathy after reductive annuloplasty of double mitral and tricuspid orifices
Type		članek
Source		J Card Surg
Vol. and No.		Letnik 17, št. 3
Publication year		2002
Volume		str. 201-4
Language		eng
Abstract		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.
Descriptors		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