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Left ventricular aneurysms may be repaired by the linear technique or endoventricular circular patch plasty technique. Choice of technique should be based on the individual patient, . A significant left ventricular (LV) aneurysm is present in 30% to 35% of acute transmural myocardial infarction. The two major risk factors for . The results of this study provide the first evidence of a long-term pharmacodynamic effect on LV remodeling with intermittent (12 hours on and off) nitroglycerin .Left ventricular aneurysms may be repaired by the linear technique or endoventricular circular patch plasty technique. Choice of technique should be based on the individual patient, including cavity and aneurysm geometry.
A significant left ventricular (LV) aneurysm is present in 30% to 35% of acute transmural myocardial infarction. The two major risk factors for developing LV aneurysm include total occlusion of the left anterior descending artery . The results of this study provide the first evidence of a long-term pharmacodynamic effect on LV remodeling with intermittent (12 hours on and off) nitroglycerin patch therapy initiated within 1 week after acute myocardial infarction and continued for 6 months.
Controversy still exists regarding the optimal surgical technique for LVA repair. We analyze the efficacy of two techniques, linear vs. endoventricular circular patch plasty, for repair of LVA and the efficacy of surgical ventricular restoration (SVR) on beating heart.Postinfarction left ventricular aneurysm can be repaired with acceptable surgical risk and long-term survival. Survival is reduced in cases with advanced age, history of ventricular arrhythmia, three-vessel disease, poor left ventricular function, and linear repair of the aneurysm.
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A number of medical therapies have been shown to promote reverse remodeling with restoration of a more normal ventricular shape, reduction in LV volumes and mass, as well as an improvement in LVEF.
In this retrospective study we assess the early and late results of patients undergoing surgery by two techniques of repair of postinfarction dyskinetic LV aneurysms, namely patch remodeling and linear repair.The patch remodeling technique results in a better LVEF improvement, further significant reductions in LV dimensions and volumes than does the linear repair technique. The results suggest that LV patch remodeling is a better surgical . In the present study, we evaluated the early clinical results and echocardiographic measurements of the LV in patients who underwent LV aneurysm repair using two different techniques along with myocardial revascularization.
We compared the efficacy of the linear versus patch repair techniques, and investigated the mid-term changes of LV geometry and cardiac function, for repair of LV aneurysms.
Left ventricular aneurysms may be repaired by the linear technique or endoventricular circular patch plasty technique. Choice of technique should be based on the individual patient, including cavity and aneurysm geometry. A significant left ventricular (LV) aneurysm is present in 30% to 35% of acute transmural myocardial infarction. The two major risk factors for developing LV aneurysm include total occlusion of the left anterior descending artery . The results of this study provide the first evidence of a long-term pharmacodynamic effect on LV remodeling with intermittent (12 hours on and off) nitroglycerin patch therapy initiated within 1 week after acute myocardial infarction and continued for 6 months.
Controversy still exists regarding the optimal surgical technique for LVA repair. We analyze the efficacy of two techniques, linear vs. endoventricular circular patch plasty, for repair of LVA and the efficacy of surgical ventricular restoration (SVR) on beating heart.Postinfarction left ventricular aneurysm can be repaired with acceptable surgical risk and long-term survival. Survival is reduced in cases with advanced age, history of ventricular arrhythmia, three-vessel disease, poor left ventricular function, and linear repair of the aneurysm. A number of medical therapies have been shown to promote reverse remodeling with restoration of a more normal ventricular shape, reduction in LV volumes and mass, as well as an improvement in LVEF.
In this retrospective study we assess the early and late results of patients undergoing surgery by two techniques of repair of postinfarction dyskinetic LV aneurysms, namely patch remodeling and linear repair.
The patch remodeling technique results in a better LVEF improvement, further significant reductions in LV dimensions and volumes than does the linear repair technique. The results suggest that LV patch remodeling is a better surgical . In the present study, we evaluated the early clinical results and echocardiographic measurements of the LV in patients who underwent LV aneurysm repair using two different techniques along with myocardial revascularization.
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