Modified endoventricular circular plasty dor procedure. The geometric reconstruction of the left ventricle with intraventricular patch dors operation is also performed in ischemic cardiomyopathy with a large area of akinesia or dyskinesia of the. 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. 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. Dors operation for akinesis or dyskinesis in patients with ischemic heart disease may improve the cardiac function. 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. Left ventricular lv pump function improvement is difficult to predict after aneurysmectomy, for either. Dor operation endoventricular circular patch plasty video. We investigated the preoperative predictors and defined the. We present the unique case of a patient suffering from congestive heart failure due to both post. The various drawbacks related to this technique can be offset by a. The consequence is dilated ischemic cardiomyopathy.
Early and midterm results of endoventricular circular patch plasty dor procedure concomitant with total arterial revascularization were studied. Coronary artery stenosis and anatomy were evaluated using coronary angiography and a coronary luminal stenosis. We describe a technique for repairing the ventricular septal perforation 10 days post acute anteroseptal myocardial infarction using the modified infarction exclusion method. Dors operation endoventricular circular patch plasty. Endoventricular circular patch plasty dor operation vumedi. The technique of surgical ventricular restoration employed in the stich trial was circular endoventricular patch plasty. Preoperative parameters predicting the postoperative. 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. Early results after surgical treatment of left ventricular. Left ventricular aneurysm and pseudoaneurysm following. Dor operation endoventricular circular patch plasty youtube. An epicardial lv lead was surgically implanted concomitant with onpump beating coronary artery bypass grafting and dors endoventricular circular patch plasty.
Combined dor ventriculoplasty and aortic valve replacement. Postinfarction ventricular septal perforation repair with. This study included 62 patients who underwent svr from 1086 consecutive patients were subjected to coronary artery bypass grafting cabg between 2000 and 2009. Application of circular patch plasty dor procedure or. 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. 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. Between 1996 and 2001, 23 consecutive patients with left ventricular aneurysm and or ischemic cardiomyopathy after. Left ventricular reconstructive surgery modified dor. Citeseerx document details isaac councill, lee giles, pradeep teregowda. It is necessary that preoperative factors predicting the postoperative course be easily and precisely documented.
Fendi outlet 15 continue to be possessing these animals hardworking until the northern part location goose promotion finishes jan. 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. 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 impact of this technique, says dr dor, was to exclude from the ventricular cavity the asyner. We performed a retrospective analysis of patients who underwent an endoventricular circular patch plasty dor procedure between 1998 and 2001. Its use in a patient resulted in an almost normal shaped interventricular septum and left. Left ventricular reconstructive surgery modified dor procedure.
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. Left ventricular aneurysm resection and remodeling dor. Early results and operative considerations of endoventricular circular patch plasty for ischemic cardiomyopathy. Department of cardiology and cardiac surgery, university g. Left ventricular reconstruction by endoventricular circular patch plasty repair. Between 1996 and 2001,23 consecutive patients with left ventricular aneurysm andor ischemic cardiomyopathy after myocardial infarction who underwent dor operation.
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. In 1985, dor introduced evcpp as a viable method for restoring a dilated left ventricle lv to its normal, elliptical geometry. Left ventricular reconstruction by endoventricular. We investigated the preoperative predictors and defined the indications of endoventricular circular patch plasty evcpp in patients with ischemic cardiomyopathy icm. The procedure itself is a viable method of restoring a dilated left ventricle to its normal eliptical geometry. Original article preoperative parameters predicting the. Abstract there has been only one other case of endoventricular circular patch plasty performed in conjunction with aortic valve replacement reported in the literature. He points out, wenever used the term dor procedure, and i prefer to say l v reconstruction by endoventricular cir cular patch plasty. Biventricular pacing with coronary bypass and dors. Modified endoventricular circular plasty dor procedure ctsnet.
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. The beating heart approach is not necessary for the dor. 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. Department of cardiovascular surgery of mc erebouni first time in armenia began to carry out cardiac surgery forpostinfarction heart aneurysm.
We present here a case of endstage nonischemic valvular dilated cardiomyopathy dcm associated with mitral regurgitation mr. 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. Endoventricular circular patch plasty or septoexclusion. 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. 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. In anterior infarction, the free lv wall and septum are scarred and become dyskinetic or akinetic. Left ventricular aneurysm lva is a serious complication of myocardial infarction and reduces the chances of survival. Learn more about it from the nations top ranked heart center. It is also known as endoventricular circular patch plasty evcpp. Biventricular pacing immediately achieved the resynchronization of the lv contraction, and improved cardiac. Left ventricular reconstruction was performed with endoventricular circular patch plasty.
Dor operation endoventricular circular 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 in the left ventricular cavity. The patient underwent surgery where left ventricular volume reduction using endoventricular circular patch plasty evcpp and mitral valve replacement mvr were performed. The dor procedure is a medical technique used as part of heart surgery and originally introduced by the french cardiac surgeon vincent dor b. All patients who received ventricular restoration, with or without revascularization or valve repair, were included in. An example of a circular patch plasty is shown in figure 2. 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.
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. Susumu ishikawa, toru takahashi, yasushi sato, tetsuya koyano, masahiro aizaki, jun mohara, masao suzuki, yutaka hasegawa, kiyohiro oshima, yasuo morishita. Surgical management of left ventricular aneurysms by the endoventricular circular patch plasty technique. In 1985, dor introduced evcpp as a viable method for restoring a dilated left ventricle lv to. Surgical management of left ventricular aneurysms by the. Sixtyone patients who underwent the dor procedure for ischemic dyskineticakinetic left ventricle were studied with mean followup of 26. Left ventricular reconstructive surgery, modified dor procedure, is a surgical treatment for heart failure.
We analyze the efficacy of two techniques, linear vs. Left ventricular reconstruction was performed with endoventricular circular patch plasty evcpp dor procedure or linear repair technique. Endoventricular circular patch plasty for endstage. Early results after surgical treatment of left ventricular aneurysm. Endoventricular circular patch plasty dor operation. The surgical technique of linear endoventricular patch plasty. Application of circular patch plasty dor procedure or linear.
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. Efficacy of endoventricular patch plasty in large postinfarction. Surgical ventricular restoration for post infarction left ventricular. Ventricular reconstruction was performed using endoventricular circular patch plasty dor procedure n48. It is also known as endoventricular circular patch plasty ecpp. 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. Pre and postoperative 1, 2, 6, and 12month clinical outcomes of the patients mean. 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. 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. 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. Dor, or modified dor, procedure to credit vincent dor, md, who authored many articles on the. Research article open access early results after surgical. Controversy still exists regarding the optimal surgical technique for lva repair. Dor procedure or the endoventricular circular patch plasty evccp, is an operation, introduced by vincent dor, in 1985.
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