Left Ventricular Reconstruction after Dor-Sailing Close to the Wind?
Clara GroßmannIhor KrasivskyiIlija DjordjevicNavid MaderThorsten WahlersKaveh EghbalzadehPublished in: The Thoracic and cardiovascular surgeon (2024)
Postinfarction left ventricular aneurysm (LVA) still remains a complication after myocardial infarction with a poor prognosis. Its incidence has decreased due to improved treatment, however, it may have experienced a renaissance due to the coronavirus disease 2019 pandemic. In this retrospective, single-center cohort study, we analyzed n = 17 patients who underwent left ventricular reconstruction after Dor. The results show a mean intensive care unit stay of 8 ± 16 days and a 30-day mortality rate of 6%. Mean postoperative ejection fraction was 44 ± 8% indicating an increase in all but three cases. This suggests that patients with an LVA can be successfully treated, and it is safe when performed by experienced surgeons. Therefore, they should still be considered for surgery early on.
Keyphrases
- ejection fraction
- aortic stenosis
- left ventricular
- poor prognosis
- coronavirus disease
- intensive care unit
- long non coding rna
- hypertrophic cardiomyopathy
- heart failure
- cardiac resynchronization therapy
- end stage renal disease
- acute myocardial infarction
- risk factors
- mitral valve
- minimally invasive
- left atrial
- coronary artery
- sars cov
- chronic kidney disease
- aortic valve
- patients undergoing
- type diabetes
- quality improvement
- cardiovascular events
- patient reported outcomes
- combination therapy
- acute coronary syndrome
- percutaneous coronary intervention
- replacement therapy