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Angina pectoris treated by ventricular plication.

H H Gray1, M Paneth, D G Gibson

  • 1Brompton Hospital, London.

British Heart Journal
|July 1, 1988
PubMed
Summary
This summary is machine-generated.

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Left ventricular plication improved regional wall motion and relieved angina symptoms in a patient with normal coronary arteries. This surgical intervention led to sustained symptom relief five years post-operation.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Diagnostic Imaging

Background:

  • Persistent angina despite medical management necessitates alternative treatment strategies.
  • Normal coronary arteries in patients with angina suggest non-obstructive causes for symptoms.
  • Regional wall motion abnormalities can occur independently of obstructive coronary artery disease.

Observation:

  • Left ventricular angiogram revealed significant regional wall motion disturbances.
  • Symptoms were refractory to conventional medical therapies.
  • Surgical intervention, left ventricular plication, was performed due to persistent symptoms.

Findings:

  • Left ventricular plication normalized the observed regional wall motion abnormalities.
  • The procedure resulted in a striking improvement in the patient's angina symptoms.

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  • These improvements mimicked the effects seen in patients with obstructive coronary disease.

    • Implications:

    • Left ventricular plication is a viable surgical option for selected patients with angina and normal coronary arteries.
    • This approach may correct functional cardiac abnormalities contributing to angina.
    • Long-term symptom-free status suggests durable benefits of the surgical intervention.