RESUMO
Post-infarction remodeling was studied in 41 patients with the post-infarction aneurysm of the left ventricle and initially reduced contractive function of the left ventricle myocardium: ejection fraction from 17 to 35%. The ultrasonic pre- and postoperative investigation allowed assessment of the index of the ultimate diastolic volume, index of the ultimate systolic volume, ejection fraction, long axis of the left ventricle, apical short axis, papillary short axis, mitral short axis. In addition, impaired obliquity of the left ventricle cavity and relative thickness of the left ventricle wall and intervenricular septum at different levels were determined. Surgical remodeling using resection of aneurysm and plasty by Dor-II-Jatene method facilitated normalization of indices of the cavity geometry and reestablishment of the contractive ability of the left ventricle.
