Conri C, Sicart M, Vallot P, Page A, Chauve A, Baudet E, Fontan F, Besse P
Arch Mal Coeur Vaiss. 1978 Sep;71(9):1029-35.
The cardiac function of 37 cases of ventricular dyskinesia were studied by cineangiography. The amplitude and speed of contraction of the contracting parts was evaluated as well as the volume of the akinetic zone. A score of coronary artery obstruction was made for those patients who underwent coronary arteriography. All the patients had resection of their aneurysm. Four patients died in the immediate post-operative period. Six patients developed a temporary low output state requiring circulatory assistance. Twenty-seven patients were operated on successfully without posing any haemodynamic problem. Good immediate and late post-operative results were associated with an ejection fraction of the contracting part greated than 0,40, a dyskinetic area less than 40% and a coronary artery obstruction index of less than 6. Resection of the aneurysm, sometimes associated with aorto-coronary bypass grafting (5 cases), led to a marked improvement in heart failure and/or disappearance of ventricular arrhythmias.
通过心血管造影术对37例心室运动障碍患者的心脏功能进行了研究。评估了收缩部分的收缩幅度和速度以及运动不能区的容积。对接受冠状动脉造影的患者进行冠状动脉阻塞评分。所有患者均切除了动脉瘤。4例患者在术后即刻死亡。6例患者出现暂时性低输出状态，需要循环辅助。27例患者手术成功，未出现任何血流动力学问题。术后即刻和远期效果良好与收缩部分的射血分数大于0.40、运动障碍面积小于40%以及冠状动脉阻塞指数小于6有关。动脉瘤切除术，有时联合主动脉-冠状动脉旁路移植术（5例），使心力衰竭明显改善和/或室性心律失常消失。
