Abstract
Objective – using the latest technologies, perform a comprehensive echocardiographic assessment of the left ventricular (LV) myocardium in patients with coronary artery disease and post-infarction LV aneurysm before and after surgery for geometric reconstruction of the LV.
Material and methods. The study included 31 patients with coronary artery disease and post-infarction LV aneurysm, mean age 58 ± 7 years. Patients underwent geometric reconstruction of the left ventricle using an endoventricular patch and coronary artery bypass grafting. The study was performed on a GE Vivid-9 device using a 4V sector sensor with a three-dimensional mode.
Results. Predictors of the complicated course of the early postoperative period were the global longitudinal strain index (GLS) and the E/e ratio. The use of three-dimensional echocardiography increases the accuracy of measurements of LV volume characteristics, and the developed method for modeling the optimal individual volume of the left ventricle required after the operation of geometric reconstruction of the left ventricle, allows minimizing the risk of developing small cardiac output syndrome and heart failure in the early postoperative period.
Conclusion. Accurate individually performed preoperative diagnosis of the anatomical and functional state of the left ventricle in this category of patients is one of the factors determining the success of the operation. When assessing the volume parameters of the left ventricle in patients with post-infarction LV aneurysm, preference should be given to the 3D echocardiography method. The revealed predictors of the complicated course of the early postoperative period can be used for stratification of surgical risk.
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About the authors
- Leo A.Bockeria, Academician of RAS and RAMS, President, ORCID
- Nadezhda O. Sokol’skaya, Dr. Med. Sc., Head of the Group, ORCID
- Natal’ya S. Kopylova, Cand. Med. Sc., Senior Researcher, ORCID
- Mikhail D. Alshibaya, Dr. Med. Sc., Professor, Head of the Department, ORCID
