Alshibaia M M, Kovalenko O A, Dorofeev A V, Rakitina T V, Dzhangveladze T N, Musin D E
Vestn Ross Akad Med Nauk. 2005(4):53-8.
The paper covers early and long-term results of left ventricle geometric reconstruction and myocardial revascularization in 44 patients with ischemic cardiomyopathy. The authors have established clinical and hemodynamic criteria of ischemic cardiomyopathy, indications for surgical treatment and a surgical technique. The article presents a new approach to correction of mitral insufficiency in the given category of patients. According to the results of the study, the necessary conditions for a surgical intervention to be successful are: intraoperative monitoring of central hemodynamics using Swan-Ganz catheter, evaluation of myocardial contractile function by means of transoesophageal echocardiography and wide use of preoperative intraaortic balloon pumping. Geometric reconstruction results in normalization of left ventricle shape and its end-systolic and end-diastolic volumes, marked increase of ejection fraction and improvement of central hemodynamics. The stability of the long-term results has been confirmed in a 4-year follow-up.
本文涵盖了44例缺血性心肌病患者左心室几何重建和心肌血运重建的早期及长期结果。作者确立了缺血性心肌病的临床和血流动力学标准、手术治疗指征及手术技术。本文介绍了针对此类患者二尖瓣反流矫正的新方法。根据研究结果，手术干预成功的必要条件为：使用Swan - Ganz导管进行术中中心血流动力学监测、通过经食管超声心动图评估心肌收缩功能以及广泛应用术前主动脉内球囊反搏。几何重建可使左心室形状及其收缩末期和舒张末期容积正常化，射血分数显著增加，并改善中心血流动力学。4年随访证实了长期结果的稳定性。
