@Article{Deja2008,
journal="Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery",
issn="1731-5530",
volume="5",
number="2",
year="2008",
title="Kardiochirurgia dorosłychThe results of surgical left ventricular restoration",
abstract="  Aim:  To assess early and late results of surgical ventricular reconstruction (SVR).    Material and Methods:  Over 8 years we operated on 102 patients (75 males) of mean age 63\&#177;7. Initial LVEDV was 219\&#177;65 ml, ESV 150\&#177;55 ml, and EF 32\&#177;8%. In 53 patients (52%) we used patches to perform SVR. On average 2.9\&#177;1.1 coronary artery bypass grafts were implanted per patient (min. 0 \&#8211; max. 5). In 43 (42%)  patients we performed MV repair, in 1 MVR, in 4 TV repair, in 1 post-infarction VSD repair, in 1 ASD repair, in 1 AVR and in 1 ascending aorta replacement.    Results:  There were 8 perioperative deaths (7.8%). One-, 2-, 3-, and 5-year survival was: 83\&#177;5%, 76\&#177;5%, 72\&#177;6% and 62\&#177;7% respectively. As a result of SVR EDV dropped to 172\&#177;52 ml (p<0.001), ESV to 112\&#177;50 ml (p<0.001) and EF increased to 37\&#177;11% (p=0.053) in the last echocardiographic follow-up. On the last visit NYHA class was 1.6\&#177;0.7 \&#8211; significantly less than preop 2.1\&#177;0.9 (p=0.009), and CCS class 0.6\&#177;0.6, less than preoperative 1.6\&#177;1.2 (p<0.001).  Mitral valve repair increased perioperative mortality, 13.9% vs. 3.4% (p=0.1), and late mortality: 3-year survival 63\&#177;8 vs. 80\&#177;8% (p=0.04). The influence of higher preoperative LV volume was not significant on survival.  In multivariate analysis LV EF <30% increased late mortality  \&#8211; OR 3.0 (95% CI 1.1-7.7) p=0.02.    Conclusions:  SVR may be added to CABG in ischaemic cardiomyopathy with reasonable operative risk. Long-term survival of our patients appears less than in the RESTORE group. The influence of SVR on long-term survival requires assessment in randomized trials.",
author="Deja, Marek
and Janusiewicz, Piotr
and Biernat, Jolanta
and Malinowski, Marcin
and Gołba, Krzysztof S.
and Domaradzki, Wojciech
and Bachowski, Ryszard
and Jasiński, Marek
and Ceglarek, Wojciech
and Woś, Stanisław",
pages="112--115",
url="https://www.termedia.pl/Kardiochirurgia-doroslych-The-results-of-surgical-left-ventricular-restoration,40,10561,1,1.html"
}