Key result
Left ventricular free-wall plication for ischemic cardiomyopathy resulted in 1 postoperative death and significant initial improvements in end-systolic volume and ejection fraction.
Why the study?
Does left ventricular free-wall plication improve hemodynamics in patients with ischemic cardiomyopathy?
Observational (n=10)
Does left ventricular free-wall plication improve hemodynamics in patients with ischemic cardiomyopathy?
Left ventricular free-wall plication for ischemic cardiomyopathy provides initial hemodynamic benefits that are partially lost over time, though mitral regurgitation grade remains stable.
Answers are grounded in this paper and cite their sources.
High perioperative mortality warrants caution; case report leaves open durability of any hemodynamic gains in ischemic cardiomyopathy.
In 10 patients, a free-wall plication of inferior or lateral scar was performed. The procedure was done on cardiopulmonary bypass and aortic cross-clamping by means of four or five wide U-stitches. Six patients underwent concomitant mitral annuloplasty and one mitral valve replacement. One patient died postoperatively. There was a sudden and significative end-systolic volume reduction with a rise in ejection fraction. These hemodynamic benefits were partially lost during the follow-up but the mitral regurgitation grade remained unchanged.
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Salati et al. (2010) conducted an observational in Ischemic cardiomyopathy (n=10). Left ventricular free-wall plication was evaluated on Postoperative mortality and hemodynamic changes. Left ventricular free-wall plication for ischemic cardiomyopathy resulted in 1 postoperative death and significant initial improvements in end-systolic volume and ejection fraction.
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