Academic Journal
TYPES OF SURGICAL TREATMENT FOR POSTINFARCTION LEFT VENTRICULAR ANEURYSMS
| العنوان: | TYPES OF SURGICAL TREATMENT FOR POSTINFARCTION LEFT VENTRICULAR ANEURYSMS |
|---|---|
| المؤلفون: | A. V. Pavlov, M. L. Gordeev, V. I. Tereshchenko |
| المصدر: | Alʹmanah Kliničeskoj Mediciny, Vol 0, Iss 38, Pp 105-112 (2016) |
| بيانات النشر: | MONIKI, 2016. |
| سنة النشر: | 2016 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | left ventricle aneurysm, coronary artery bypass grafting, Medicine |
| الوصف: | Surgical treatment of postinfarction left ventricular aneurysms in ischemic heart disease patients allows for a significant improvement of outcomes and clinical endpoints, an increase in quality of life and survival. The article deals with historical periods in surgical treatment of left ventricular aneurysms and chronologically describes the history of methods for reconstruction of the left ventricle.Despite the fact that within the last 50 years, mainly due to improvements in surgical techniques, in-hospital mortality decreased two-fold, it still remains high. The choice of technique for any kind of ventricular reparation depends on localization of the lesion that defines which sites of left ventricular asynergia should be repaired and how its form should be restored. At present, it is not possible to reliably assess benefits of any type of reparative surgery over another. Risk factors of inhospital mortality are: age, incomplete myocardial revascularization, high grade heart failure, female gender, immediate surgery, ejection fraction below 30%. To improve clinical outcomes one should strive to approximate to the physiological form of the left ventricle, to minimize negative influence of surgery on myocardial contractility. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | Russian |
| تدمد: | 2072-0505 2587-9294 |
| Relation: | https://www.almclinmed.ru/jour/article/view/274; https://doaj.org/toc/2072-0505; https://doaj.org/toc/2587-9294 |
| DOI: | 10.18786/2072-0505-2015-38-105-112 |
| URL الوصول: | https://doaj.org/article/60061a29c5714684a3f87919c4c38844 |
| رقم الانضمام: | edsdoj.60061a29c5714684a3f87919c4c38844 |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 20720505 25879294 |
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| DOI: | 10.18786/2072-0505-2015-38-105-112 |