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  • Študij funkcije levega prekata po endoanevrizmorafiji = Left ventricular functional improvement following cooley endoaneurysmorrhaphy : a study of regional and global LV function : [disertacija]
    Klokočovnik, Tomislav
    After extensive myocardial infarction left ventricular aneurysm represents systolic convexity of left ventrical with the diminished trabecular structuresand with expressed border line between viable ... and fibrotic tissue. It causes malignant rhythm disturbances with high incidence of sudden death. Medical treatment is less effective in the comparison with surgical therapy. Conventional surgical therapy represents aneurysmectomy with longitudinal incision of aneurysmatic sack and double suture closure with teflon felt. Because of the severe reduction of left ventricular volume and disfunction of papillary muscles after resection of aneurysmatic sack the success of this procedure is questionable. The mortality rate is relatively high. New surgicalprocedure - endoaneurysmorraphy enables the improvement of left ventricular function in the comparison with classical surgical therapy. Left ventricular dimension is stabilized and the ejection fraction is improved by the implantation of dacron patch without resection of aneurysmatic sack. Tha purpose of the study was to evaluate the success of the new surgical procedure- endoaneurysmorraphy. The global and regional contraction of left ventricle before and after the implantation of dacron patch was compared. Clinical and diagnostical data were evaluated leading to the decision to choose the proper therapy for the patients with post infaction aneurysm of left ventricle. Regional left ventricular function was evaluated according to preoperative contrast ventriculagraphy and postoperative radionuclide ventriculography with technetium 99. The measurements of svstolic and dyastolic regional half diameter and regional surfaces of left ventricle before and after operation werc compared. The results of contrast ventriculography and radionuclide ventriculography were analysed with planimetric method by the use of coordinating system (the method of shorteningthe semi axis). (Abstract truncated at 2000 characters).
    Type of material - dissertation
    Publication and manufacture - Ljubljana : [T. Klokočovnik], 2000
    Language - slovenian
    COBISS.SI-ID - 2178068

Library Call number – location, accession no. ... Copy status
National and University Library, Ljubljana GS II 522372 glavno skladišče available - reading room
MF, Central Medical Library, Lj. doktorske disertacije
KLOKOČOVNIK T. Študij
IN: 020000829 		available - outside loan, loan period: 1 months
MF, Central Medical Library, Lj. doktorske disertacije
KLOKOČOVNIK T. Študij
IN: 020000828 		available - outside loan, loan period: 1 months
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