Indications for Partial Left Ventriculectomy in Pediatric Dilated Cardiomyopathy

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概要

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• The purpose of this study was to define the role and indications of partial left ventriculectomy (PLV) in children with end-stage dilated cardiomyopathy (DCM). Clinical data were collected by retrospective chart review of children with DCM who were treated from 1997 to 2000. Four patients underwent PLV (PLV group) and 5 patients were managed without PLV (non-PLV group). In the PLV group, 2 patients are well 18 and 35 months postoperatively. One infant survived 6 months and then successfully underwent heart transplantation, and the other child died of hemoptysis 2 weeks postoperatively. Factors affecting outcome were preoperative status, in particular whether surgery was performed urgently or electively. In the non-PLV group, 4 patients were well controlled by medical treatment and 1 infant underwent mitral valve replacement for severe mitral regurgitation. The cardiothoracic ratio ranged from 72% to 76% in the PLV group and from 45% to 60% in the non-PLV group. The percentage of the expected left ventricular diastolic dimension ranged from 184% to 218% in the PLV group and from 109% to 163% in the non-PLV group. Ejection fractions in the PLV group were from 10% to 22% and from 36% to 56% in the non-PLV group. The serum brain natriuretic peptide concentration was above 1,200pg/ml in the PLV group and below 168pg/ml in the non-PLV group. In conclusion, PLY is indicated for selected children with end-stage DCM, and is most appropriate when medical therapy is not effective and heart transplantation is unavailable.

• 社団法人日本循環器学会の論文
• 2002-03-20

著者

• Kanazawa Hiroshi

  Cardiovascular Surgery, Niigata City General Hospital

• Suzuki Shoji

  Department of Cardiovascular Medicine,National Cardiovascular Center

• Sugiyama Hisashi

  Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center

• OSAWA Hiroshi

  Department of Medical Oncology, Cancer Institute Hospital

• Osawa Hiroshi

  Department Of Cardiac Surgery Asahi General Hospital

• Hosaka S

  Second Department Of Surgery Faculty Of Medicine

• Hosaka Shigeru

  Department Of Internal Medicine Kitasato University School Of Medicine

• YOSHII Shinpei

  Second Department of Surgery, Yamanashi Medical University

• SUZUKI Shoji

  Second Department of Surgery, Yamanashi Medical University

• TADA Yusuke

  Second Department of Surgery, Yamanashi Medical University

• TAN Tetsushi

  Department of Pediatrics, Yamanashi Medical University

• HOSAKA Shigeru

  Second Department of Surgery, Yamanashi Medical College

• AKASHI Okihiko

  Second Department of Surgery, Faculty of Medicine, University of Yamanashi

• YOSHII Shinpei

  Departments of Surgery, Yamanashi Medical University

• TADA Yusuke

  Departments of Surgery, Yamanashi Medical University

• KADONO Toshie

  Department of Pediatrics, Yamanashi Medical University

• HOSHIAI Minako

  Department of Pediatrics, Yamanashi Medical University

• Akashi Okihiko

  Departments of Surgery, Yamanashi Medical University

• Kadono Toshie

  Department Of Pediatrics Faculty Of Medicine University Of Yamanashi

• Hoshiai Minako

  Department Of Pediatrics Faculty Of Medicine University Of Yamanashi

• Hoshiai Minako

  Department Of Physiology School Of Medicine Tokai University

• Akashi Okihiko

  Second Department Of Surgery Faculty Of Medicine University Of Yamanashi

• Hosaka Shigeru

  Department Of Surgery Yamanashi Medical University

• Tada Y

  Second Department Of Surgery Faculty Of Medicine

• Tada Yusuke

  山梨医科大学 2外

• Tada Yusuke

  Department Of Bio-medical Engineering Tokai University

• Suzuki S

  Second Division Of Surgery Faculty Of Medicine University Of Yamanashi

• Tan Tetsushi

  Department Of Pediatrics Yamanashi University School Of Medicine

• Yoshii S

  Division Of Cardiovascular Surgery Tachikawa General Hospital

• Yoshii Shinpei

  Department Of Cardiovascular Surgery Tachikawa Medical Center

• Akashi Okihiko

  Department Of Cardiovascular Surgery Tachikawa General Hospital

• Takayama Y

  Department Of Surgery Kanto Central Hospital

• Sugiyama Hisashi

  Department Of Pediatrics Faculty Of Medicine University Of Yamanashi

• Yoshii Shinpei

  Division Of Cardiovascular Surgery Tachikawa General Hospital

• Suzuki Shoji

  Second Division Of Surgery Faculty Of Medicine University Of Yamanashi

• Suzuki Shoji

  Department Of Cardiology Tsukuba Memorial Hospital

• Sugiyama Hisashi

  Department Of Pediatric Cardiology National Cardiovascular Center

• Satoh Yoshitomo

  Department Of Cardiovascular Surgery Niigata City General Hospital

• Kanazawa Hiroshi

  Cardiovascular Surgery Niigata City Hospital

• Sato Yoshitomo

  Departments Of Second Surgery Niigata University School Of Medicine Niigata

• Hosaka Shigeru

  Department Of Cardiovascular Surgery National Centre For Global Health And Medicine

• TADA Yusuke

  Second Department of Surgery, Faculty of Medicine

• Takayama Yutaka

  Second Department of Surgery, Faculty of Medicine

• YOSHII Shinpei

  Second Department of Surgery, Yamanashi Medical College

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