Bahadır DAĞLAR, Haşim ÜSTÜNSOY, Hakkı KAZAZ, Ekrem BAYAR, Mehmet Adnan CELKAN, Cem ATİK

Sol ventrikül anevrizmalarının tedavisinde endoventriküler perikardiyal yama (Endoanevrizmorafi) yöntemi: Erken dönem klinik sonuçlar

Amaç: Sol ventrikül anevrizmalı hastalarda uygulanan endoventriküler perikardiyal yama yöntemi ve erken dönem sonuçları değerlendirildi. Çalışma planı: 2001-2004 yılları arasında endoanevrizmorafi uygulanan 32 hasta (23 erkek, 9 kadın; ort. yaş 58.1±11.1; dağılım 48-75) çalışmaya alındı. Demografik özellikler, ameliyat sonrası erken ve orta dönem takip sonuçları ve yıllık ekokardiyografi sonuçları değerlendirildi.Bulgular: Ameliyat öncesi NYHA (New York Heart Association) sınıf ortalaması 2.9±0.4’den ameliyat sonrası 2.4±0.6’ya geriledi. Ameliyat öncesi ejeksiyon fraksiyonu (EF) %33.2±6.7’den erken dönemde 38.3±0.8’e yükseldi. Altıncı ayda yapılan kontrol ekolarında EF’nin %41.6±4.5’e yükseldiği saptandı. Ameliyat mortalitesi iki hastayla %6.2 olarak gerçekleşti. Geç dönemde mortalite görülmedi.Sonuç: Bulgularımız, sol ventrikül anevrizmalarında endoventriküler perikardiyal yama (endoanevrizmorafi) yönteminin güvenle uygulanabileceğini göstermektedir.

Surgical treatment of left ventricular aneurysms with an endoventricular pericardial patch (Endoaneurysmorrhaphy): Early clinical results

Background: We evaluated the short-term results of endoaneurysmorrhaphy with the use of an endoventricular pericardial patch in patients with a left ventricular aneurysm. Methods: We studied 32 patients (23 men, 9 women; mean age 58.1±11.1 years; range 48-75 years) who underwent endoaneurysmorrhaphy between 2001 and 2004. Preoperative, postoperative and early operative results and echocardiographies were analyzed.Results: The mean preoperative NYHA (New York Heart Association) class improved from 2.9±0.4 to 2.4±0.6. The mean ejection fraction improved from preoperative 33.2±6.7% to 38.3±0.8% in the early postoperative period, and to 41.6±4.5% in the postoperative sixth month. Perioperative mortality was seen in two patients (6.2%). No mortality occurred in the late follow-up.Conclusion: Endoaneurysmorrhaphy with the use of an endoventricular pericardial patch is a safe procedure in the treatment of left ventricular aneurysms.

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