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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...

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Left ventricular aneurysm using the Dor technique: mid-term results.

Hayrettin Tekümit1, Adil Polat, Ibrahim Uyar

  • 1Avrupa Safak Hastanesi, Istanbul, Turkey.

Journal of Cardiac Surgery
|January 12, 2010
PubMed
Summary

Left ventricular aneurysm (LVA) repair using the Dor procedure shows low mortality and improves patient survival and clinical status. This surgical technique offers significant benefits for patients with LVA and coronary artery disease.

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Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery
  • Surgical Innovation

Background:

  • Left ventricular aneurysm (LVA) poses significant risks, including heart failure and arrhythmias.
  • Surgical repair of LVA is crucial for improving patient outcomes and survival.
  • The Dor procedure offers a modified endoventricular circular patch plasty technique for LVA repair.

Purpose of the Study:

  • To evaluate the early and mid-term results of modified endoventricular circular patch plasty for LVA repair.
  • To assess the safety and efficacy of the Dor procedure in LVA treatment.
  • To analyze the impact of LVA repair combined with coronary revascularization on patient survival and clinical status.

Main Methods:

  • Retrospective analysis of 67 patients undergoing LVA repair with modified endoventricular circular patch plasty.
  • Inclusion criteria: anterior LVA. Mean patient age: 64.8 years. Preoperative assessment included LVEF, LVEDD, and LVESD.
  • Concomitant procedures: coronary revascularization (61 patients), mitral ring annuloplasty (5 patients).

Main Results:

  • Thirty-day mortality was 5.9%.
  • Follow-up averaged 4.3 years (267.8 patient-years). Significant improvements observed in LVEF, LVESD, LVEDD, and mitral valve function post-surgery.
  • Five-year survival rate was 87.7%; freedom from cardiac death was 98.2%.

Conclusions:

  • Left ventricular aneurysm repair using the Dor procedure is associated with low mortality.
  • The surgical technique effectively improves left ventricular function and dimensions.
  • Combined LVA repair and coronary revascularization enhance patient survival and clinical well-being.