The surgical reconstruction of left ventricle in patients with coronary heart disease complicated by heart failure

Abstract

From 1996 till 2010 in our hospital 136 patients with coronary heart disease complicated by heart failure underwent surgical treatment. The patients were divided into 2 groups: I - the patients with a left ventricular aneurysm (n = 70), II - the patients with ischemic cardiomyopathy (ICMP) (n = 66 patients). All the patients underwent coronary artery bypass surgery, reconstruction of the left ventricle (Dor procedure), the correction of mitral regurgitation. Hospital mortality in group II was 5.4%, all the patients in group I had surgery safely. All the surviving patients after surgery have decreased the size of the left ventricle decreased spherical cavity of the ventricle, increased its fraction. 10 - year survival rate in group I was 78% in the II - 56,5%. Freedom from heart failure of high functional classes (NYHA III, IV), 10 years after surgery the patients in group I was 80.2%, in group II - 68%. The surgical procedure on all components of cardiac pathology in the patients with coronary artery disease and heart failure can achieve satisfactory long-term results.