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ORALPRESENTATION OpenAccess
Surgicalventricular restorationwithCABGwithor
withoutmitral repair: is itanideal surgery?
YMenaissy
From23rdWorldCongressof theWorldSocietyofCardio-ThoracicSurgeons
Split,Croatia. 12-15September2013
Background
Surgical ventricular restorationbymeansof theDor
procedureisasurgicaloptioninpatientswithcoronary
arterydisease,post- infarctionleftventricularaneurysm
or ischemicdilatedcardiomyopathywithorwithout
mitralregurgitation.Theaimofthisstudywastoevaluate
our8yearclinicalexperienceofthisprocedure.
Methods
FromApril 2005 toApril 2013, surgical ventricular
restorationwasperformed in48patients (36males),
meanage57(41-74)years.Allpatientspresentedwith
anginaand/orheart failureand/orventricular tachycar
dia.Postinfarctionleftventricularaneurysmwaspresent
inall48patientsandischemicdilatedcardiomyopathy
withalargeakineticleftventriclein8.Thepreoperative
leftventricularejectionfractionwas32+/-9(19-43)%.
Multi-vesseldiseasewaspresentin18patients.Ventricular
tachycardiawasdiagnosedin10patients(spontaneousVT
in2).MitralregurgitationmorethangradeIwasfoundin
18patients.ThemeanEuroSCOREwas7.3+/-2.6(4-17).
Results
AllpatientsunderwenttheDorprocedure,whichincluded
anon-guidedendocardectomytoexcludetheaneurysm
andtreatventriculartachycardia.Coronaryarterybypass
graftingwasperformedinall48patientsandamitralvalve
repairwasperformedin18. Intra-aorticballoonpumping
wasusedpreoperativelyin7patientsandpostoperatively
in6casesandall48patientsneededinotropicsupportfor
morethan24h.Hospitalmortalitywas8/48(16.6%).
Conclusions
TheDorventricularrestorationisagoodsurgicaloption
fortreatmentofpostinfarctionleftventricularaneurysm
andmitral repairshouldbedone if theregurgitationis
morethanmild.Eightyearsresultsaregoodcompared
tothepatientsEuroSCORE.
Published:11September2013
doi:10.1186/1749-8090-8-S1-O190
Citethisarticleas:Menaissy: Surgicalventricular restorationwithCABG
withorwithoutmitral repair: is itanideal surgery?Journalof
CardiothoracicSurgery20138(Suppl1):O190.
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www.biomedcentral.com/submit Correspondence: ym*******@*****il.com
DepartmentofCardiothoracicSurgery,CairoUniversity,Cairo, Egypt
MenaissyJournalofCardiothoracicSurgery2013,8(Suppl1):O190
http://www.cardiothoracicsurgery.org/content/8/S1/O190
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