Dor V
Cardio-Thoracic Center of Monaco, Monte Carlo, Monaco.
Semin Thorac Cardiovasc Surg. 1997 Apr;9(2):139-45.
The term dyskinesia refers to a post-ischemic fibrous area of ventricle that moves in a paradoxical manner during ventricular systole and diastole, ie, an aneurysm. Akinesia indicates that such an area of scarred ventricle exhibits no movement during either systole or diastole. In the past, it has been considered extremely important, from a surgical standpoint, to differentiate between dyskinesia, which can be treated surgically, and akinesia, which cannot be treated by surgery. Because the only alternative form of surgical therapy in many of these patients is cardiac transplantation, we have applied the technique of reconstruction of akinetic areas by our endocardial ventricular patch plasty technique in the same manner as that used for areas of dyskinesia. The surgical results, especially in patients with large areas of akinesia in the left ventricle, confirm the validity of this direct approach to the treatment of a frequently complex problem.
运动障碍一词指的是心室缺血后的纤维区域，在心室收缩期和舒张期以矛盾的方式运动，即动脉瘤。运动不能表明这样一个瘢痕化的心室区域在收缩期或舒张期均无运动。过去，从外科手术的角度来看，区分可通过手术治疗的运动障碍和无法通过手术治疗的运动不能极为重要。由于在许多此类患者中唯一的替代手术治疗方式是心脏移植，我们已采用心室内膜补片成形术技术来重建运动不能区域，其方式与用于运动障碍区域的方式相同。手术结果，尤其是在左心室存在大面积运动不能的患者中，证实了这种直接治疗常见复杂问题方法的有效性。
