Gintaras Kalinauskas, Giedrius Uždavinys, Elvyra Voluckienė

Clinic of Heart Surgery, Vilnius University

Key words: left ventricular remodeling, left ventricular reconstruction, left ventricular aneurysm.

Summary. Objective. Reconstruction of the left ventricular geometry tends to a more physiological reorganization of the ventricular cavity.

Material and methods. In the Vilnius University Heart Surgery Clinic this kind of operations have being performed from February of the 1999. Fifteen patients were evaluated in postoperative period at 18 months after the surgery.

Results. The mean left ventricular ejection fraction significantly raises in all of patients after operation (from 32% to 42%, P<0.01, compare pre- to post-operatively). At 18 months, 12 patients were in NYHA I/II and tree of patients – in III functional class. Echo analysis showed progressive deterioration of left ventricular function with symptoms of congestive heart failure only in tree patients after left ventricular reconstruction. These tree patients had a large asynergy pre- and post-operatively, than 12 patients with good surgical outcome.

Conclusion. We concluded, that surgical outcome of reconstruction repair relates more to the extent of left ventricular asynergy.