Revascularização miocárdica e restauração ventricular por meio da pacopexia

OBJECTIVE: To analyze left ventricle performance after myocardial revascularization associated to ventricular geometrics restoration by pacopexy in schemic myocardiopathy patients with significant ventricular dysfunction in whom ventricular restoration was obtained through special technique. METHODS...

Descripción completa

Detalles Bibliográficos
Autores: Breda, Joao Roberto [UNIFESP], Aguiar, Luciano Figueiredo [UNIFESP], Branco, João Nelson Rodrigues [UNIFESP], Catani, Roberto [UNIFESP], Pinto, Ibraim Masciarelli Francisco [UNIFESP], Nakano, Edson Minoru [UNIFESP], Buffolo, Enio [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2007
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/3498
Acceso en línea:http://dx.doi.org/10.1590/S0066-782X2007000200007
http://repositorio.unifesp.br/handle/11600/3498
Access Level:acceso abierto
Palabra clave:Heart failure
congestive
myocardial revascularization
ventricular function
left
Insuficiência cardíaca congestiva
revascularização miocárdica
função ventricular esquerda
Descripción
Sumario:OBJECTIVE: To analyze left ventricle performance after myocardial revascularization associated to ventricular geometrics restoration by pacopexy in schemic myocardiopathy patients with significant ventricular dysfunction in whom ventricular restoration was obtained through special technique. METHODS: Myocardial revascularization associated to ventricular geometrics restoration through special technique, with no use of prosthesis or other synthetic materials. RESULTS: Patients functional class was shown to have improved 93.10% after surgical procedure. Pre- and post-surgical comparison showed significant increase in left ventricle ejection fraction as well as decrease in left ventricle systolic diameter. No significant change was observed in left ventricle diastolic diameter or systolic volume. Post-surgical follow-up time length ranged from 1 month to 3 years and 4 months. CONCLUSION: Ventricular dysfunction restoration technique through pacopexy showed to be effective for the management of severe ventricular dysfunction from schemic causes. Major impact was observed in the functional class of patients under study.