| Title |
Kairiojo skilvelio geometrijos ir tūrio atkūrimo operacija: priešoperaciniai ir operaciniai rizikos veiksniai / |
| Translation of Title |
Left ventricular reconstruction: preoperative and operative risk factors. |
| Authors |
Kalinauskas, Gintaras ; Samalavičius, Robertas Stasys ; Valaika, Arūnas ; Norkūnas, Gediminas ; Verižnikovas, Jurgis ; Uždavinys, Giedrius |
| DOI |
10.15388/LietChirur.2007.3.2215 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija. 2007, t. 5, Nr. 3, p. 402-405.. ISSN 1392-0995 |
| Abstract [eng] |
Background / objective: The dor procedure is a surgical option in patients with coronary artery disease and postinfarction left ventricular aneurysm. The aim of this study was to evaluate our clinical experience in this procedure and determine risk factors for in-hospital mortality. Patients and methods: This was a retrospective investigation. From January 1, 2000 to December 31, 2006, surgical ventricular restoration was performed in 88 patients (69 males), mean age 64.5 ± 9.8 (42-80) years. Patient with valve repair or replacement were excluded from the study. Results: All patients underwent the Dor procedure with coronary artery bypass grafting. Crude mortality rate was 6.8%. Higher EuroSCORE, longer operation and cardiopulmonary bypass time and emergency surgery were univariate predictors of in-hospital mortality. Conclusions: The Dor procedure with myocardial revascularization can be performed with acceptable mortality in this high risk group of patients. Higher EuroSCORE, longer operation and cardiopulmonary bypass time and emergency surgery increase the risk of in-hospital mortality. |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2007 |
| CC license |
|
