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Partial left ventriculectomy for idiopathic dilated cardiomyopathy: early results and six- month follow-up  Siniša Gradinac, MD, Milutin Mirić, MD, PhD,

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Presentation on theme: "Partial left ventriculectomy for idiopathic dilated cardiomyopathy: early results and six- month follow-up  Siniša Gradinac, MD, Milutin Mirić, MD, PhD,"— Presentation transcript:

1 Partial left ventriculectomy for idiopathic dilated cardiomyopathy: early results and six- month follow-up  Siniša Gradinac, MD, Milutin Mirić, MD, PhD, Zoran Popović, MD, Aleksandar D Popović, MD, PhD, Aleksandar N Nešković, MD, Ljiljana Jovović, MD, PhD, Ljiljana Vuk, MD, Milovan Bojić, MD, PhD  The Annals of Thoracic Surgery  Volume 66, Issue 6, Pages (December 1998) DOI: /S (98)

2 Fig 1 Surgical technique. (A) Left-ventricular excision. (B) Mitral valve repair, showing eccentric commissural annuloplasty, coaptation stitch of leaflets, and papillary muscle rotation and pull toward the apex. (C) Pledget-supported over-and-over suture of the left ventricle. (APM = anterior papillary muscle; PML = posterior mitral leaflet; PPM = posterior papillary muscle.) The Annals of Thoracic Surgery  , DOI: ( /S (98) )

3 Fig 2 Survival of patients after partial left ventriculectomy.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )

4 Fig 3 (A) New York Heart Association class preoperatively and at 6-month follow-up (n = 16). (B) Six-minute walking test distance preoperatively and 6 months postoperatively (n = 16). The Annals of Thoracic Surgery  , DOI: ( /S (98) )

5 Fig 4 Cardiac index (CI) and pulmonary capillary wedge pressure (PCWP), before, during, and after partial left ventriculectomy. Increase in CI after partial left ventriculectomy was noted with further improvement during follow-up. PCWP decreased initially, but returned to baseline values at follow-up. (Base = baseline; intraop = intraoperative; Mo = months; post = postoperatively; W = weeks; ∗p < 0.05; †p < 0.01; ∗∗p < ) The Annals of Thoracic Surgery  , DOI: ( /S (98) )


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