终末期心肌病的左成形术精选.pptVIP

* LEFT VENTRICULOPLASTY FOR ENDSTAGE CARDIOMYOPATHY HISAYOSHI SUMA THE CARDIOVASCULAR INSTITUTE TOKYO LEFT VENTRICULOPLASTY lSCHEMIC CARDIOMYOPATHY -EVCPP(Dor) , SAVE(Suma) 　 NON ISCHEMIC CARDIOMYOPATHY -PLV(Batista) , SAVE(Suma) ISCHEMIC CARDIOMYOPATHY Definition: Non-aneurysmal diffuse akinetic left ventricle with chronic heart failure following myocardial infarction Diastole Systole (EF 6%) ISCHEMIC CARDIOMYOPATHY Trias of “ Bad ” ventricle Dilated LV Intractable heart failure No angina pectoris 0 2 4 6 8 10 12 1.0 0.8 0.6 0.2 0.0 Years since operation n = 57 EF 35% C