ALL libraries (COBIB.SI union bibliographic/catalogue database)
13.
Surgical therapy for heart failure, RADO operation - personal experience
Radovanović, Ninoslav ...
Patients with dilated cardiomyopathy (DCM) represent a huge remodeling of the fibrous skeleton of the heart with mitral and tricuspid annulus dilatation andconsecutive mitral and tricuspid ...regurgitation. Remodeling of the fibrous skeleton of the base of the heart is an important part of remodeling of the left ventricle. Medical treatment of these patients is not successful. The aimof this study is to show hemodynamic and clinical improvement after Reductive Annuloplasty of Double (mitral and tricuspid) Orifices (RADO) in ischemic dilated cardiomyopathy (IDCM) and primary dilated cardiomyopathy (PDCM). There were 290 patients (253 males, 37 females), mean age 52.8 years, 202 pts (70%) operated due to IDCM with ejection fraction (EF) under 30% and 88 pts (30%) due to PDCM. Out 290 pts, 70% were in NYHA class IV and 75% had previous cardiac decompensation. The mean ejection fraction was 22.6%. Mean value of left ventricular diastolic internal diameter (LVIDd) in IDCM was 7.0 cm and in PDCM was 7.3 cm. Mean value of mitral annulus area (MAA) in IDCM was 9.0 cmz and in PDCM was 8.6 cm2. Mitral annuloplasty according to A. Carpentier and our own procedure were done in 42 and 248 pts, respectively. In271 (93%) cases our modified De Vega's tricuspid annuloplasty was performed.Myocardial revascularisation was done in all 202 pts with IDCM. The analysis of hemodynamic parameters, using Swan-Ganz catheter and thermodilution method, was made in the period prior to the surgical intervention, before extracorporeal circulation (ECC) and after the correctionof mitral and tricuspid regurgitation (immediately after ECC, 24 and42 hours from ECC). The results show statistically signofocant improvement (p<0.01) after operation. (Abstract truncated at 2000 characters).
It was not necessary to add the material to the shelf.
Bibliographic material was successfully added on shelf.
Adding bibliographical material on shelf was not successful.
Material is already on the shelf.
Permalink
URL:
Impact factor
Access to the JCR database is permitted only to users from Slovenia. Your current IP address is not on the list of IP addresses with access permission, and authentication with the relevant AAI accout is required.
Year
Impact factor
Edition
Category
Classification
JCR
SNIP
JCR
SNIP
JCR
SNIP
JCR
SNIP
Select the library membership card:
DRS,
in which the journal is indexed
Database name
Field
Year
Links to authors' personal bibliographies
Links to information on researchers in the SICRIS system
Subject headings in COBISS General List of Subject Headings
Select pickup location
The material from the parent unit is free. If the material is delivered to the pickup location from another unit, the library may charge you for this service.
