Mariana Rodriguez Masi, Abstract Co-Author: Nothing to Disclose

Irene Martin Lores MRCS, Abstract Co-Author: Nothing to Disclose

Ana Bustos, Abstract Co-Author: Nothing to Disclose

Beatriz Cabeza MD, Abstract Co-Author: Nothing to Disclose

Jose Juan Gomez, Abstract Co-Author: Nothing to Disclose

Joaquin Dominguez Ferreiros MD, PhD, Presenter: Nothing to Disclose

To assess cardiovascular magnetic resonance (CMR) imaging findings in patients with ischemic heart disease and ventricular aneurysm who underwent left ventriculoplasty repair.

Data were retrospectively gathered on 21 patients (17 men and 4 women, mean age 63 ± 10 years) with diagnosis of ventricular aneurysm secondary to ischemic heart disease undergoing left ventriculoplasty repair between January 2007 and March 2013. The following data were evaluated in preoperative and postoperative CMR studies: quantitative analysis of left ventricular ejection fraction (LVEF), left ventricular end-diastolic (LVEDV) and end-systolic (LVESV) volume index, presence of valvular disease and intracardiac thrombi. The time between surgery and postoperative CRM studies was 3 -24 months.

Postoperative CMR studies were performed in 12 of the 21 patients included in the study. Statistically significant differences were found in the diagnostic and postoperative LVEF, LVEDV and LVESV values. EF showed a median increase of 10% (IQR 2-15) (p = 0.003). The LVEDV showed a median decrease of 38 ml/m2 (IQR 18-52) (p = 0.006) and the LVESV showed a median decrease of 45 ml/m2 (IQR:12-60) (p = 0.008). 57 % of patients had mitral insufficiency and 24 % had intracardiac thrombi.

Cardiac RMI is a reliable non-invasive technique for the evaluation and management of patients with ischemic heart disease that are candidates for left ventriculoplasty. In this study, a significant postoperative improvement in LVEF, LVEDV and LVESV was demonstrated. Patients who benefited most from the operation were those with higher preoperative left ventricular volumes.

Cardiac RMI is a reliable technique for the pre and postsurgical evaluation of patients with ventricular aneurysm due to ischemic heart disease who are candidates to left ventriculoplasty.  

Rodriguez Masi, M, Martin Lores, I, Bustos, A, Cabeza, B, Gomez, J, Ferreiros, J, Cardiac MRI Assessment of Patients with Left Ventriculoplasty.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14017881.html