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4.
Vestn Khir Im I I Grek ; 157(5): 16-9, 1998.
Article in Russian | MEDLINE | ID: mdl-9915051

ABSTRACT

Operations for ischemic heart disease complicated by the appearance of postinfarction left ventricular aneurysm were fulfilled on 94 patients. The modified operation after V. Dor used in 55 patients allowed fulfilling interventions on the damaged parts of the interventricular septum excluding the application of foreign patches. Intrahospital lethality was 7.6%.


Subject(s)
Heart Aneurysm/surgery , Myocardial Infarction/complications , Adult , Aged , Cardiac Surgical Procedures/methods , Heart Aneurysm/etiology , Heart Aneurysm/physiopathology , Heart Ventricles/physiopathology , Heart Ventricles/surgery , Humans , Male , Middle Aged , Myocardial Infarction/physiopathology , Myocardial Infarction/surgery , Myocardial Ischemia/complications , Myocardial Ischemia/physiopathology , Myocardial Ischemia/surgery , Stroke Volume
5.
Vestn Khir Im I I Grek ; 156(5): 70-3, 1997.
Article in Russian | MEDLINE | ID: mdl-9490540

ABSTRACT

A conclusion about the hemodynamic significance of aneurysm having the area of more than 30% of the left ventricle surface is made on the basis of an analysis of the pre- and post-operative parameters of the myocardium contractility and hemodynamic indices in 49 patients with postinfarction aneurysm of the left ventricle (main group) and 26 patients with ischemic heart disease without this complication (control group). Formation of the syndrome of chronic insufficiency of blood circulation in hemodynamically insignificant aneurysm results from ischemia of the myocardium, rather than the aneurysm as such. Improvement of blood supply to the myocardium as a result of its revascularization in such patients led to normalization of the left ventricle geometry.


Subject(s)
Heart Aneurysm/surgery , Myocardial Infarction/complications , Myocardial Revascularization , Adult , Heart Aneurysm/etiology , Heart Aneurysm/physiopathology , Hemodynamics , Humans , Male , Middle Aged , Myocardial Contraction , Myocardial Infarction/physiopathology , Prospective Studies
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