Results of surgical treatment of postinfarction left ventricular aneurysm complicated with ventricular tachycardia with use of 3D-navigation system CARTO™

The aim of the research was to study localization of wandering focus and effectiveness of extensive endocardectomy at left ventricular reconstruction in patients with ischemic heart disease (IHD) with postinfarction left ventricular aneurysm (LVA) in combination with ventricular tachycardia (VT). Ex...

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Autores principales:	V. N. Iljinov, V. E. Babokin, V. M. Shipulin, A. N. Plekhanov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2014
Materias:	ischemic heart disease coronary artery bypass surgery left ventricular aneurysm endocardectomy ventricular tachycardia Science Q
Acceso en línea:	https://doaj.org/article/956225cc962f4ba2b3dc8b3830d07fd9
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spelling	oai:doaj.org-article:956225cc962f4ba2b3dc8b3830d07fd92021-11-23T06:14:30ZResults of surgical treatment of postinfarction left ventricular aneurysm complicated with ventricular tachycardia with use of 3D-navigation system CARTO™2541-94202587-9596https://doaj.org/article/956225cc962f4ba2b3dc8b3830d07fd92014-05-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/1757https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The aim of the research was to study localization of wandering focus and effectiveness of extensive endocardectomy at left ventricular reconstruction in patients with ischemic heart disease (IHD) with postinfarction left ventricular aneurysm (LVA) in combination with ventricular tachycardia (VT). Examined patients besides diagnostic routines had intracardiac electrophysiological examination (EPE) with use of 3D-navigation system CARTOTX (Biosense Webster). During EPE abnormal zones of delayed navigating and zones of double potential with main localization in the area of cacuminal and middle septate segments were found. All patients were divided into two groups: patients of the first group had aortocoronary bypass (ACB) in combination with left ventricular reconstruction completed with extended resection of endocardium with pinch of all cacuminal and middle septate segments; 2 patients of the second group had isolated ACB, 2 patients had ACB with mitral annuloplasty with rim and de Vega plasty of tricuspid valve, 1 patient had percutaneous transluminal coronary angioplasty, 10 patients hadACB in combination with LVA plasty without extended endocardium resection. As the result of the treatment in the first group there were no VT episodes after resection of aneurysm with extended endocardium resection; 33 % of patients in the second group had implantable cardioverter defibrillator, 7 % of the patients had radio frequency ablation of VT nidus, 7 % of the patients had anti-arrhythmic therapy. Taking into consideration that main localization of ectopic nidus in patients with IHD with postinfarction LVA and VT is in the area of cacuminal and middle septate segments, left ventricular reconstruction in these patients needs to be conducted with extended resection of endocardium of these segments.V. N. IljinovV. E. BabokinV. M. ShipulinA. N. PlekhanovScientific Сentre for Family Health and Human Reproduction Problemsarticleischemic heart diseasecoronary artery bypass surgeryleft ventricular aneurysmendocardectomyventricular tachycardiaScienceQRUActa Biomedica Scientifica, Vol 0, Iss 3, Pp 25-29 (2014)
institution	DOAJ
collection	DOAJ
language	RU
topic	ischemic heart disease coronary artery bypass surgery left ventricular aneurysm endocardectomy ventricular tachycardia Science Q
spellingShingle	ischemic heart disease coronary artery bypass surgery left ventricular aneurysm endocardectomy ventricular tachycardia Science Q V. N. Iljinov V. E. Babokin V. M. Shipulin A. N. Plekhanov Results of surgical treatment of postinfarction left ventricular aneurysm complicated with ventricular tachycardia with use of 3D-navigation system CARTO™
description	The aim of the research was to study localization of wandering focus and effectiveness of extensive endocardectomy at left ventricular reconstruction in patients with ischemic heart disease (IHD) with postinfarction left ventricular aneurysm (LVA) in combination with ventricular tachycardia (VT). Examined patients besides diagnostic routines had intracardiac electrophysiological examination (EPE) with use of 3D-navigation system CARTOTX (Biosense Webster). During EPE abnormal zones of delayed navigating and zones of double potential with main localization in the area of cacuminal and middle septate segments were found. All patients were divided into two groups: patients of the first group had aortocoronary bypass (ACB) in combination with left ventricular reconstruction completed with extended resection of endocardium with pinch of all cacuminal and middle septate segments; 2 patients of the second group had isolated ACB, 2 patients had ACB with mitral annuloplasty with rim and de Vega plasty of tricuspid valve, 1 patient had percutaneous transluminal coronary angioplasty, 10 patients hadACB in combination with LVA plasty without extended endocardium resection. As the result of the treatment in the first group there were no VT episodes after resection of aneurysm with extended endocardium resection; 33 % of patients in the second group had implantable cardioverter defibrillator, 7 % of the patients had radio frequency ablation of VT nidus, 7 % of the patients had anti-arrhythmic therapy. Taking into consideration that main localization of ectopic nidus in patients with IHD with postinfarction LVA and VT is in the area of cacuminal and middle septate segments, left ventricular reconstruction in these patients needs to be conducted with extended resection of endocardium of these segments.
format	article
author	V. N. Iljinov V. E. Babokin V. M. Shipulin A. N. Plekhanov
author_facet	V. N. Iljinov V. E. Babokin V. M. Shipulin A. N. Plekhanov
author_sort	V. N. Iljinov
title	Results of surgical treatment of postinfarction left ventricular aneurysm complicated with ventricular tachycardia with use of 3D-navigation system CARTO™
title_short	Results of surgical treatment of postinfarction left ventricular aneurysm complicated with ventricular tachycardia with use of 3D-navigation system CARTO™
title_full	Results of surgical treatment of postinfarction left ventricular aneurysm complicated with ventricular tachycardia with use of 3D-navigation system CARTO™
title_fullStr	Results of surgical treatment of postinfarction left ventricular aneurysm complicated with ventricular tachycardia with use of 3D-navigation system CARTO™
title_full_unstemmed	Results of surgical treatment of postinfarction left ventricular aneurysm complicated with ventricular tachycardia with use of 3D-navigation system CARTO™
title_sort	results of surgical treatment of postinfarction left ventricular aneurysm complicated with ventricular tachycardia with use of 3d-navigation system carto™
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2014
url	https://doaj.org/article/956225cc962f4ba2b3dc8b3830d07fd9
work_keys_str_mv	AT vniljinov resultsofsurgicaltreatmentofpostinfarctionleftventricularaneurysmcomplicatedwithventriculartachycardiawithuseof3dnavigationsystemcarto AT vebabokin resultsofsurgicaltreatmentofpostinfarctionleftventricularaneurysmcomplicatedwithventriculartachycardiawithuseof3dnavigationsystemcarto AT vmshipulin resultsofsurgicaltreatmentofpostinfarctionleftventricularaneurysmcomplicatedwithventriculartachycardiawithuseof3dnavigationsystemcarto AT anplekhanov resultsofsurgicaltreatmentofpostinfarctionleftventricularaneurysmcomplicatedwithventriculartachycardiawithuseof3dnavigationsystemcarto
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Results of surgical treatment of postinfarction left ventricular aneurysm complicated with ventricular tachycardia with use of 3D-navigation system CARTO™

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