Dor V
Cardio-Thoracic Center of Monaco, Monte Carlo, Monaco.
Semin Thorac Cardiovasc Surg. 1997 Apr;9(2):123-30.
The endoventricular circular patch plasty (EVCPP) technique was first used by us in 1984 to re-establish a more normal morphology of the left ventricular cavity distorted by post-myocardial infarction scar tissue. This technique includes the placement of a subendocardial circumferential pursestring suture inside the left ventricle around the base of the aneurysm at the junction of scarred and normal endocardium. A patch is then placed at this level to establish a new contour for the left ventricular cavity. Because this patch is placed at the junction of scar and normal endocardium, a substantial portion of the distal ventricular septum is excluded from the left ventricular cavity. The overall hospital mortality in our series of more than 715 cases is approximately 7% and, in the survivors, the ejection fraction is increased an average of 0.10.
1984年我们首次采用心室内环形补片成形术（EVCPP）来重建因心肌梗死后瘢痕组织而扭曲的左心室腔，使其形态更为正常。该技术包括在左心室内，于瘢痕化与正常心内膜交界处的动脉瘤基部周围放置一条心内膜下环形荷包缝线。然后在此水平放置一块补片，为左心室腔建立新的轮廓。由于该补片置于瘢痕与正常心内膜的交界处，左心室腔将远端室间隔的很大一部分排除在外。在我们超过715例的系列病例中，总体医院死亡率约为7%，而在存活者中，射血分数平均提高了0.10。
