缺血性对和非缺血性心肌病的外科治疗.pptVIP

LV dilatation Ischemia LV EDP Two undersized ring annuloplasty =Improve annular dilatationPapillary muscle plication =Improve mitral tethering Mitral Valve Plasty Mitral Annuloplasty Using Undersized Circumferential Ring Dilated cardiomyopathy Papillary muscle plication ＜Degree＞ Control (n=5) 108±11° DCM with Papillary muscle plication (n=12) Before op 118±10° After op 106±8° ＜Distance＞ Control(n=5) 4.4±0.5cm DCM with Papillary muscle plication (n=12) Before op 7.8±0.8cm After op 6.3±0.9cm In non-ischemic DCM preoperative status was more severe than that of ischemic DCM and the