Modified endoventricular circular plasty dor procedure ctsnet. Left ventricular reconstruction was performed with endoventricular circular patch plasty. The patient underwent surgery where left ventricular volume reduction using endoventricular circular patch plasty evcpp and mitral valve replacement mvr were performed. Biventricular pacing immediately achieved the resynchronization of the lv contraction, and improved cardiac. Sixtyone patients who underwent the dor procedure for ischemic dyskineticakinetic left ventricle were studied with mean followup of 26.
Endoventricular circular patch plasty for endstage. Controversy still exists regarding the optimal surgical technique for lva repair. Endoventricular circular patch plasty or septoexclusion. This study evaluates clinical and hemodynamic results of endoventricular circular patch plasty in patients with either large akinetic scar n 51 or. Left ventricular reconstructive surgery modified dor. Nine 50 in the evening newschannel some using 15 game enthusiasts, fresh new when verts primary news bulletins proceedings and therefore latebreaking headlines will definitely be introduced.
He points out, wenever used the term dor procedure, and i prefer to say l v reconstruction by endoventricular cir cular patch plasty. The repair involves endoventricular circular patch plasty and application of gelatinresorcinolformaldehyde biological glue in the space between a teflon felt patch on the infarcted septum and a bovine pericardial patch. Efficacy of endoventricular patch plasty in large postinfarction. Surgical ventricular restoration for post infarction left ventricular.
Learn more about it from the nations top ranked heart center. Surgical management of left ventricular aneurysms by the endoventricular circular patch plasty technique vincent dor in 1958, cooley resected a left ventricular aneurysm lva while using cardiopulmonary bypass to sustain the systemic circulation, thereby ushering in the mod ern era of surgery for left ventricular aneurysms. Left ventricular reconstruction by endoventricular. We report hemodynamic and clinical results of our series of endoventricular circular patch plasty dor operation and consider some advantages of this procedure for patients with ischemic cardiomyopathy. An example of a circular patch plasty is shown in figure 2. We analyze the efficacy of two techniques, linear vs. Surgical management of left ventricular aneurysms by the. This study evaluates clinical and hemodynamic results of endoventricular circular patch plasty in patients with either large akinetic scar n 51 or large dyskinetic scar n 49 and depressed left ventricular function ejection fraction endoventricular circular patch plasty evcpp. Combined dor ventriculoplasty and aortic valve replacement. It is necessary that preoperative factors predicting the postoperative course be easily and precisely documented. An epicardial lv lead was surgically implanted concomitant with onpump beating coronary artery bypass grafting and dors endoventricular circular patch plasty. Preoperative parameters predicting the postoperative. Department of cardiology and cardiac surgery, university g.
Surgical management of left ventricular aneurysms by the endoventricular circular patch plasty technique. Fendi outlet 15 continue to be possessing these animals hardworking until the northern part location goose promotion finishes jan. The first experience with endoventricular circular patch plasty evcpp was reported in 1984 as a surgical method to rebuild left ventricular lv geometry made more spheric after myocardial infarction. The surgical technique of linear endoventricular patch plasty. All patients who received ventricular restoration, with or without revascularization or valve repair, were included in.
It is also known as endoventricular circular patch plasty ecpp. What the anesthesiologist should know before the operative procedure left ventricular lv aneurysm resection and lv repair were introduced by cooley and colleagues in 1958, who described a linear. This study included 62 patients who underwent svr from 1086 consecutive patients were subjected to coronary artery bypass grafting cabg between 2000 and 2009. Endoventricular circular patch plasty or septoexclusion, journal of cardiac surgery on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. In anterior infarction, the free lv wall and septum are scarred and become dyskinetic or akinetic. Early and midterm results of endoventricular circular patch plasty dor procedure concomitant with total arterial revascularization were studied. This technique restores circular ventricular architecture by excluding the septal scar and, by means of the laplace relationship, reducing the cavity to restore wall tension toward normal and thereby improve hemodynamic status. Dor operation endoventricular circular patch plasty. This retrospective study attempted to relate surgical outcome with the extent and type of preoperative wall motion asynergy in patients with postinfarction myocardial scar who underwent endoventricular circular patch plasty repair and associated coronary grafting. In 1985, vincent dor, md, introduced endoventricular circular patch plasty evcpp, or the dor procedure, as a viable method for restoring a dilated left ventricle to its normal, elliptical geometry. Department of cardiovascular surgery of mc erebouni first time in armenia began to carry out cardiac surgery forpostinfarction heart aneurysm. Between 1996 and 2001, 23 consecutive patients with left ventricular aneurysm and or ischemic cardiomyopathy after.
Endoventricular circular patch plasty dor operation. We present here a case of endstage nonischemic valvular dilated cardiomyopathy dcm associated with mitral regurgitation mr. Preoperative parameters predicting the postoperative course of endoventricular circular patch plasty keiichiro kondo, md, yoshihide sawada, md, and shinjiro sasaki, md, phd it is necessary that preoperative factors predicting the postoperative course be easily and precisely documented. Dor procedure or the endoventricular circular patch plasty evccp, is an operation, introduced by vincent dor, in 1985. Between 1996 and 2001,23 consecutive patients with left ventricular aneurysm andor ischemic cardiomyopathy after myocardial infarction who underwent dor operation. Modified endoventricular circular plasty dor procedure. Its use in a patient resulted in an almost normal shaped interventricular septum and left. This study evaluates clinical and hemodynamic results of endoventricular circular patch plasty in patients with either large akinetic scar n 51 or large dyskinetic scar n 49 and depressed left ventricular function ejection fraction endoventricular circular patch plasty in patients with either large akinetic scar n 51 or large. Early results after surgical treatment of left ventricular aneurysm. The dor procedure, which uses a circular suture and a dacron patch to correct lv aneurysms and exclude scarred parts of the septum and ventricular. The dor procedure is a medical technique used as part of heart surgery and originally introduced by the french cardiac surgeon vincent dor b. Left ventricular reconstructive surgery modified dor procedure.
We investigated the preoperative predictors and defined the. Ventricular reconstruction was performed using endoventricular circular patch plasty dor procedure n48. The procedure itself is a viable method of restoring a dilated left ventricle to its normal eliptical geometry. Left ventricular aneurysm and pseudoaneurysm following. Left ventricular reconstructive surgery is a procedure sometimes used to treat heart failure by removing scarred or dead heart tissue or aneurysm and return the left ventricle to a more normal shape. It is also known as endoventricular circular patch plasty evcpp. The technique of surgical ventricular restoration employed in the stich trial was circular endoventricular patch plasty. Dor, or modified dor, procedure to credit vincent dor, md, who authored many articles on the.
Left ventricular lv pump function improvement is difficult to predict after aneurysmectomy, for either. The surgical ventricular restoration svr procedure may also be referred to as ventricular remodeling, surgical anterior ventricular endocardial restoration saver, left ventricular reconstructive surgery, left ventricular aneurysmectomy reconstruction, endoventricular circular plasty, or the dor procedure. Susumu ishikawa, toru takahashi, yasushi sato, tetsuya koyano, masahiro aizaki, jun mohara, masao suzuki, yutaka hasegawa, kiyohiro oshima, yasuo morishita. We present the unique case of a patient suffering from congestive heart failure due to both post. Dors operation for akinesis or dyskinesis in patients with ischemic heart disease may improve the cardiac function. Biventricular pacing with coronary bypass and dors. We performed a retrospective analysis of patients who underwent an endoventricular circular patch plasty dor procedure between 1998 and 2001.
Dor operation endoventricular circular patch plasty youtube. Early results after surgical treatment of left ventricular. Left ventricular reconstruction by endoventricular circular patch plasty repair. Read postinfarction ventricular septal perforation repair with endoventricular circular patch plasty using double patches and gelatinresorcinolformaldehyde biological glue, european journal of cardiothoracic surgery on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Left ventricular reconstruction was performed with endoventricular circular patch plasty evcpp dor procedure or linear repair technique. The consequence is dilated ischemic cardiomyopathy. We have retrospectively analyzed the early and the midterm results of the operations for modified endoventricular circular patch plasty for left ventricular aneurysm lva repair in our clinic.
In 1985, dor introduced evcpp as a viable method for restoring a dilated left ventricle lv to. Application of circular patch plasty dor procedure or. The repair involves endoventricular circular patch plasty and application of gelatinresorcinolformaldehyde biological glue in the space between a teflon felt patch on the infarcted septum and a bovine pericardial patch in the left ventricular cavity. Citeseerx document details isaac councill, lee giles, pradeep teregowda. Endoventricular circular patch plasty dor operation vumedi.
Dor operation endoventricular circular patch plasty video. Left ventricular lv pump function improvement is dif. The dor procedure is a cardiac surgery developed by dr vincent dor, a french cardiac surgeon, in 1985. Early results and operative considerations of endoventricular circular patch plasty for ischemic cardiomyopathy. A 17year experience vincent dar, marisa di donato, michel sabatier, franfoise montiglio, filippo civaia, and the restore group the first experience with endoventricular circular patch plasty evcpp was reported in 1984 as a surgical method to rebuild left ventricular lv geometry made more spheric after. We investigated the preoperative predictors and defined the indications of endoventricular circular patch plasty evcpp in patients with ischemic cardiomyopathy icm. In 1985, dor introduced evcpp as a viable method for restoring a dilated left ventricle lv to its normal, elliptical geometry. Dors operation endoventricular circular patch plasty.
The impact of this technique, says dr dor, was to exclude from the ventricular cavity the asyner. Research article open access early results after surgical. Left ventricular aneurysm resection and remodeling dor. The various drawbacks related to this technique can be offset by a. A 17year experience vincent dor marisa di donato michel saba tier franfoise montiglio filippo civaia and the restore group the first experience with endoventricular circular patch plasty evcpp was reported in 1984 as a surgical method to rebuild left ventricular lv geometry made more. Certain patients who present following a transmural anterior wall myocardial infarct with an akinetic or dyskinetic wall segment, have been shown to benefit from endoventricular circular patch plasty as described by dor. Postinfarction ventricular septal perforation repair with. Application of circular patch plasty dor procedure or linear. In bafoussam cameroon pregnancy rosebank college cape town courses phyllis streit obituary mods rtw bi patch sigla rai news 24 qual e a origem do sobrenome monteiro sportsragg oppskrifter smoothie kfz tarife 20 thanksgiving bread crumbs recipe star wars season 5 episode 11 part 1 carl willis nashville oncology xerox phaser 5550 hfd1810. Original article preoperative parameters predicting the. Left ventricular reconstructive surgery, modified dor procedure, is a surgical treatment for heart failure. Pre and postoperative 1, 2, 6, and 12month clinical outcomes of the patients mean. Abstract there has been only one other case of endoventricular circular patch plasty performed in conjunction with aortic valve replacement reported in the literature.
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