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dc.contributor.authorWellens, Francis
dc.contributor.authorGeelen, Peter
dc.contributor.authorDemirsoy, Ergun
dc.contributor.authorVan Praet, Frank
dc.contributor.authorDe Geest, Raphael
dc.contributor.authorDegrieck, Ivan
dc.contributor.authorVanermen, Hugo
dc.contributor.authorBrugada, Pedro
dc.date.accessioned2019-06-27T08:01:00Z
dc.date.available2019-06-27T08:01:00Z
dc.date.issued2002
dc.identifier.issn1010-7940en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12469/203
dc.identifier.urihttps://doi.org/10.1016/S1010-7940(02)00371-8
dc.description.abstractObjective: In this study the efficacy of left ventricular (LV) endoaneurysmorrhaphy and cryoablation without intraoperative electrophysiologic mapping was evaluated in patients with postinfarction LV aneurysm and sustained ventricular tachycardia (VT). Methods: A prospective study was performed on all patients operated with malignant VT in the presence of a resectable LV aneurysm between July 1990 and February 2001. Results: The study included 31 patients 20 men and 11 women with a mean age of 65.5 years (47-84). Monomorphic polymorphic VT or ventricular fibrillation was present in all patients prospectively and VT was incessant in 11. Twenty-six patients had an anterior four patients had an inferior and one patient a posterolateral myocardial wall infarction. All patients had a well-limited ventricular aneurysm. Ten patients had three eight patients two and 13 patients had single vessel coronary artery disease. Mean preoperative ejection fraction was 34.8 +/- 14.5% (8-62) and mean end-diastolic volume index was 141.5 +/- 51.8 ml/m(2) (57-288). Six patients had mitral regurgitation grade III or IV. All patients underwent extensive cryoablation at the transition zone of scar and viable tissue and LV remodelling with prosthetic patch in 26 patients. Associated procedures were CABG in 19 patients (61%) and mitral valve reconstruction in six patients (19%). Postoperative electrophysiologic study (EPS) revealed freedom from VT induction in 25 patients and inducible VT in five patients. One patient had inducible polymorphic VT. Five patients received an implantable cardioverter defibrillator (ICD) and three patients had a permanent pacemaker implanted. After a mean follow-up of 30 +/- 27 months (6-132) there was one arrhythmia-related death. There was one early hospital readmission for clinical VT and no need for late ICD implantation. Conclusions: In patients suffering from ventricular arrhythmias in the presence of a complicated postinfarction LV aneurysm combined 'blind' cryoablation and endoaneurysmorrhaphy offers excellent arrhythmia control and clinical and haemodynamic outcome. (C) 2002 Elsevier Science B.V. All rights reserved.en_US]
dc.language.isoengen_US
dc.publisherElsevier Science Bven_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCryoablationen_US
dc.subjectVentricular tachycardiaen_US
dc.subjectLeft ventricular aneurysmen_US
dc.subjectSudden deathen_US
dc.subjectMyocardial infarctionen_US
dc.titleSurgical treatment of tachyarrhythmias due to postinfarction left ventricular aneurysm with endoaneurysmorrhaphy and cryoablationen_US
dc.typeconferenceObjecten_US
dc.identifier.startpage771en_US
dc.identifier.endpage776
dc.relation.journalEuropean Journal of Cardio-Thoracic Surgeryen_US
dc.identifier.issue5
dc.identifier.volume22en_US
dc.identifier.wosWOS:000179759900018en_US
dc.identifier.doi10.1016/S1010-7940(02)00371-8en_US
dc.identifier.scopus2-s2.0-0036844667en_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.identifier.pmid12414044en_US


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