Left ventricular volume reduction for end-stage heart disease

Paolo Vanelli, Luigi Beretta, Pino Maria Fundarò, Cristina Carro, Carmine Santoli, Andrea Mangini, Anna Maria Condemi, Piero Castelli, Matteo Munari

Research output: Contribution to journalArticle

Abstract

Partial left ventriculectomy (PLV) was recently introduced for end-stage dilated cardiomyopathy to improve ventricular function. Since November 1996 we have performed PLV in 14 patients; preoperatively 4 patients had idiopathic dilated cardiomyopathy and 10 had ischemic dilated cardiomyopathy. 57.1% of patients were in New York Heart Association functional Class IV. The mitral valve was replaced in 11 patients. Postoperative echocardiography showed a reduction of left end-diastolic diameter (55.4 ± 5.4 mm) and an increase in forward ejection (cardiac index from 2.19 ± 0.571 min/m2 to 2.67 ± 0.931/min/m2). The 30-day mortality was 28.6% and 20-month survival was 57.2%. Only one patient was not in NYHA functional class due to postoperative progressive mitral incompetence. Prognostic factors should be identified to avoid early failure. However, even if the mortality rate for PLV high, this operation is a valid choice for the treatment of end-stage dilated cardiomyopathy.

Original languageEnglish
Pages (from-to)60-63
Number of pages4
JournalJournal of Cardiac Surgery
Volume14
Issue number1
Publication statusPublished - 1999

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Vanelli, P., Beretta, L., Fundarò, P. M., Carro, C., Santoli, C., Mangini, A., Condemi, A. M., Castelli, P., & Munari, M. (1999). Left ventricular volume reduction for end-stage heart disease. Journal of Cardiac Surgery, 14(1), 60-63.