Regional Wall Motion of the Left Ventricle Evaluated by the Centerline Method in Left Ventricular Aneurysmectomy
In 13 patients who underwent left ventriculography both before and after operation, we investigated regional wall motion of the left ventricle (LV) with the centerline method in LV aneurysmectomy. There were no significant differences between preoperative predicted and postoperative ejection fractio...
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| Published in | Japanese Journal of Cardiovascular Surgery Vol. 26; no. 6; pp. 365 - 370 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Society for Cardiovascular Surgery
1997
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| Online Access | Get full text |
| ISSN | 0285-1474 1883-4108 1883-4108 |
| DOI | 10.4326/jjcvs.26.365 |
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| Abstract | In 13 patients who underwent left ventriculography both before and after operation, we investigated regional wall motion of the left ventricle (LV) with the centerline method in LV aneurysmectomy. There were no significant differences between preoperative predicted and postoperative ejection fraction. No significant differences were observed between preoperative predicted and postoperative regional wall motion of all segments in all cases and cases without significant stenosis who did not undergo revascularization of the right coronary artery. Postoperative regional wall motion of the inferior wall was significantly better than the preoperative predicted one in cases who underwent revascularization of the right coronary artery with significant stenosis. It is considered that revascularization of the right coronary artery with significant stenosis in LV aneurysmectomy was effective for the improvement of regional wall motion of the inferior wall. |
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| AbstractList | In 13 patients who underwent left ventriculography both before and after operation, we investigated regional wall motion of the left ventricle (LV) with the centerline method in LV aneurysmectomy. There were no significant differences between preoperative predicted and postoperative ejection fraction. No significant differences were observed between preoperative predicted and postoperative regional wall motion of all segments in all cases and cases without significant stenosis who did not undergo revascularization of the right coronary artery. Postoperative regional wall motion of the inferior wall was significantly better than the preoperative predicted one in cases who underwent revascularization of the right coronary artery with significant stenosis. It is considered that revascularization of the right coronary artery with significant stenosis in LV aneurysmectomy was effective for the improvement of regional wall motion of the inferior wall. |
| Author | Kubo, Kiyokage Takagi, Hisato Hirose, Hajime Yasuda, Hiroyuki Murakawa, Shinji Mori, Yosio Takiya, Hiroshi Furuzawa, Yasunobu |
| Author_xml | – sequence: 1 fullname: Takagi, Hisato organization: First Department of Surgery, Gifu University School of Medicine – sequence: 1 fullname: Hirose, Hajime organization: First Department of Surgery, Gifu University School of Medicine – sequence: 1 fullname: Murakawa, Shinji organization: First Department of Surgery, Gifu University School of Medicine – sequence: 1 fullname: Mori, Yosio organization: First Department of Surgery, Gifu University School of Medicine – sequence: 1 fullname: Furuzawa, Yasunobu organization: First Department of Surgery, Gifu University School of Medicine – sequence: 1 fullname: Yasuda, Hiroyuki organization: First Department of Surgery, Gifu University School of Medicine – sequence: 1 fullname: Kubo, Kiyokage organization: First Department of Surgery, Gifu University School of Medicine – sequence: 1 fullname: Takiya, Hiroshi organization: Department of Thoracic Surgery, Gifu Prefectural Hospital |
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| References | 13) Merin, G., Schattenberg, T. T., Pluth, J. R. et al.: Surgery for postinfarction ventricular aneurysm. Ann. Thorac. Surg. 15: 588-591, 1973. 2) 石倉義弥, 小田桐重遠, 木曽一誠ほか: 心筋梗塞後心室瘤に対する外科的治療の長期予後: 残部心室機能との比較. 日胸外会誌29: 373-378, 1981. 6) Herman, M. V. and Gorlin, R.: Implications of left ventricular asynergy. Am. J. Cardiol. 23: 538-547, 1969. 5) Sheehan, F. H., Bolson, E. L., Dodge, H. T. et al.: Advantages and applications of the centerline method for characterizing regional ventricular function. Circulation 74: 293-305, 1986. 12) Ibarra-Perez, C. and Lillechei, C. W.: Resection of postinfarction ventricular aneurysms and simultaneous myocardial revascularization. J. Cardiovasc. Surg. 10: 419-425, 1969. 14) Aranda, J. M., Befeler, B., Thurer, R. et al.: Long-term clinical and hemodynamic studies after ventricular aneurysmectomy and aorta-coronary bypass. J. Thorac. Cardiovasc. Surg. 73: 772-779, 1977. 1) 北村惣一郎: 心筋梗塞後左室瘤, 広範瘢痕化心筋切除術-術後急性期および遠隔期の血行動態と左室機能からみた手術適応に関する研究-. 日胸外会誌 24: 1343-1362, 1976. 4) 矢部喜正, 山下稔晴: 左室変形挙動の定量的解析の試みとその有用性. 呼と循33: 77-83, 1985. 7) Leighton, R. F., Wilt, S. M. and Lewis, R. P.: Detection of hypokinesis by a quatitative analysis of left ventricular cineangiograms. Circulation 50: 121-127, 1974. 9) Bhargava, V., Warren, S., Vieweg, W. V. et al.: Quantitation of left ventricular wall motion in normal subjects: comparison of various mothods. Catheterization and Cardiovascular Diagnosis 6: 7-16, 1980. 8) Rickards, A., Seabra-Gomes, R. and Thurston, P.: The assessment of regional abnormalities of the left ventricule by angiography. Eur. J. Cardiol. 5: 167-182, 1977. 10) Hood, W. B. Jr.: Experimental myocardial infarction. III. Recovery of left ventricular function in the healing phase. Contribution of increased fiber shortening in noninfarcted myocardium. Am. Haert J. 79: 531-538, 1970. 11) Kennedy, J. W., Trenholme, S. E. and Kasser, I. S.: Left ventricular volume and mass from single-plane cineangiocardiogram. A comparison of anteroposterior and right anterior oblique methods. Am. Heart J. 80: 343-352, 1970. 3) 加藤智栄, 藤村嘉彦, 新井悟ほか: 心筋梗塞後左室瘤手術症例の検討-True aneurysm と Functional aneurysm の比較検討-. 日胸外会誌 38: 1255-1260, 1990. 15) 石倉義弥, 小田桐重遠, 木曽一誠: 心筋梗塞後心室瘤の術後長期予後から見た手術適応と手術方法の検討. 日外会誌 82: 1199-1204, 1981. |
| References_xml | – reference: 13) Merin, G., Schattenberg, T. T., Pluth, J. R. et al.: Surgery for postinfarction ventricular aneurysm. Ann. Thorac. Surg. 15: 588-591, 1973. – reference: 9) Bhargava, V., Warren, S., Vieweg, W. V. et al.: Quantitation of left ventricular wall motion in normal subjects: comparison of various mothods. Catheterization and Cardiovascular Diagnosis 6: 7-16, 1980. – reference: 1) 北村惣一郎: 心筋梗塞後左室瘤, 広範瘢痕化心筋切除術-術後急性期および遠隔期の血行動態と左室機能からみた手術適応に関する研究-. 日胸外会誌 24: 1343-1362, 1976. – reference: 12) Ibarra-Perez, C. and Lillechei, C. W.: Resection of postinfarction ventricular aneurysms and simultaneous myocardial revascularization. J. Cardiovasc. Surg. 10: 419-425, 1969. – reference: 8) Rickards, A., Seabra-Gomes, R. and Thurston, P.: The assessment of regional abnormalities of the left ventricule by angiography. Eur. J. Cardiol. 5: 167-182, 1977. – reference: 4) 矢部喜正, 山下稔晴: 左室変形挙動の定量的解析の試みとその有用性. 呼と循33: 77-83, 1985. – reference: 5) Sheehan, F. H., Bolson, E. L., Dodge, H. T. et al.: Advantages and applications of the centerline method for characterizing regional ventricular function. Circulation 74: 293-305, 1986. – reference: 2) 石倉義弥, 小田桐重遠, 木曽一誠ほか: 心筋梗塞後心室瘤に対する外科的治療の長期予後: 残部心室機能との比較. 日胸外会誌29: 373-378, 1981. – reference: 10) Hood, W. B. Jr.: Experimental myocardial infarction. III. Recovery of left ventricular function in the healing phase. Contribution of increased fiber shortening in noninfarcted myocardium. Am. Haert J. 79: 531-538, 1970. – reference: 6) Herman, M. V. and Gorlin, R.: Implications of left ventricular asynergy. Am. J. Cardiol. 23: 538-547, 1969. – reference: 11) Kennedy, J. W., Trenholme, S. E. and Kasser, I. S.: Left ventricular volume and mass from single-plane cineangiocardiogram. A comparison of anteroposterior and right anterior oblique methods. Am. Heart J. 80: 343-352, 1970. – reference: 14) Aranda, J. M., Befeler, B., Thurer, R. et al.: Long-term clinical and hemodynamic studies after ventricular aneurysmectomy and aorta-coronary bypass. J. Thorac. Cardiovasc. Surg. 73: 772-779, 1977. – reference: 3) 加藤智栄, 藤村嘉彦, 新井悟ほか: 心筋梗塞後左室瘤手術症例の検討-True aneurysm と Functional aneurysm の比較検討-. 日胸外会誌 38: 1255-1260, 1990. – reference: 15) 石倉義弥, 小田桐重遠, 木曽一誠: 心筋梗塞後心室瘤の術後長期予後から見た手術適応と手術方法の検討. 日外会誌 82: 1199-1204, 1981. – reference: 7) Leighton, R. F., Wilt, S. M. and Lewis, R. P.: Detection of hypokinesis by a quatitative analysis of left ventricular cineangiograms. Circulation 50: 121-127, 1974. |
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| Title | Regional Wall Motion of the Left Ventricle Evaluated by the Centerline Method in Left Ventricular Aneurysmectomy |
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