Skip to main content
SpringerLink
Log in

Surgical approaches to left ventricular reconstruction: a matter of perspective

  • Published:
Heart Failure Reviews Aims and scope Submit manuscript

Abstract

Surgical reconstruction of physiological shape and size of a postischemically remodeled left ventricle has been advocated to improve ventricular function and improve patient long-term outcome. What initially started as linear aneurysm resection surgery developed over the years into the endoventricular repair techniques (surgical ventricular reconstruction, SVR) that have also been applied in patients with postischemically dilated ventricles and mainly anterior akinesia. SVR improved function as measured by the ejection fraction. Whether it affects survival was finally tested in the largest surgical trial ever conducted, the STICH trial (Surgical Treatment for IsChemic Heart failure). The trial, however, presented rather sobering information with its Hypothesis 2 outcome by demonstrating identical 5-year survival rates between SVR plus bypass grafting (CABG) and CABG alone. SVR also did not improve quality of life. This neutral finding spawned a series of critical responses with respect to trial design and conduct accompanied by appropriate responses by the trial’s leadership. At the end of this dispute, it appears that SVR has been accepted as not very useful for most patients and is less and less performed in daily practice. What remains is a series of different perspectives that will be discussed in this review. The conclusion will be that SVR may be of low value for the patient with dilated and massively remodeled ventricles, but the technique bears therapeutic potential for some patients for different reasons so that the surgeon’s ability to perform this operation should not get lost.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Cooley DA, Collins HA, Morris GC Jr, Chapman DW (1958) Ventricular aneurysm after myocardial infarction; surgical excision with use of temporary cardiopulmonary bypass. J Am Med Assoc 167(5):557–560

    Article  PubMed  CAS  Google Scholar 

  2. Likoff W, Bailey CP (1955) Ventriculoplasty: excision of myocardial aneurysm; report of a successful case. J Am Med Assoc 158(11):915–920

    Article  PubMed  CAS  Google Scholar 

  3. Kurrelmeyer K, Kalra D, Bozkurt B, Wang F, Dibbs Z, Seta Y, Baumgarten G, Engle D, Sivasubramanian N, Mann DL (1998) Cardiac remodeling as a consequence and cause of progressive heart failure. Clin Cardiol 21(12 Suppl 1):I14–I19

    Article  PubMed  CAS  Google Scholar 

  4. Shanahan MX (1968) Diagnosis and treatment of postinfarction left ventricular aneurysm. Geriatrics 23(1):104–113

    PubMed  CAS  Google Scholar 

  5. Dor V, Sabatier M, Di Donato M, Montiglio F, Toso A, Maioli M (1998) Efficacy of endoventricular patch plasty in large postinfarction akinetic scar and severe left ventricular dysfunction: comparison with a series of large dyskinetic scars. J Thorac Cardiovasc Surg 116(1):50–59

    Article  PubMed  CAS  Google Scholar 

  6. Athanasuleas CL, Buckberg GD, Stanley AW, Siler W, Dor V, Di Donato M, Menicanti L, Almeida de Oliveira S, Beyersdorf F, Kron IL, Suma H, Kouchoukos NT, Moore W, McCarthy PM, Oz MC, Fontan F, Scott ML, Accola KA (2004) Surgical ventricular restoration in the treatment of congestive heart failure due to post-infarction ventricular dilation. J Am Coll Cardiol 44(7):1439–1445

    Article  PubMed  Google Scholar 

  7. Dor V (1990) Surgery for left ventricular aneurysm. Curr Opin Cardiol 5(6):773–780

    Article  PubMed  CAS  Google Scholar 

  8. Dor V (2001) The endoventricular circular patch plasty (“Dor procedure”) in ischemic akinetic dilated ventricles. Heart Fail Rev 6(3):187–193

    Article  PubMed  CAS  Google Scholar 

  9. Doenst T, Velazquez EJ, Beyersdorf F, Michler R, Menicanti L, Di Donato M, Gradinac S, Sun B, Rao V (2005) To STICH or not to STICH: we know the answer, but do we understand the question? J Thorac Cardiovasc Surg 129(2):246–249

    Article  PubMed  Google Scholar 

  10. Dor V, Saab M, Coste P, Kornaszewska M, Montiglio F (1989) Left ventricular aneurysm: a new surgical approach. Thorac Cardiovasc Surg 37(1):11–19

    Article  PubMed  CAS  Google Scholar 

  11. Jong P, Yusuf S, Rousseau MF, Ahn SA, Bangdiwala SI (2003) Effect of enalapril on 12-year survival and life expectancy in patients with left ventricular systolic dysfunction: a follow-up study. Lancet 361(9372):1843–1848

    Article  PubMed  CAS  Google Scholar 

  12. Swedberg K, Kjekshus J, Snapinn S (1999) Long-term survival in severe heart failure in patients treated with enalapril. Ten year follow-up of CONSENSUS I. Eur Heart J 20(2):136–139

    Article  PubMed  CAS  Google Scholar 

  13. Tandon P, McAlister FA, Tsuyuki RT, Hervas-Malo M, Dupuit R, Ezekowitz J, Cujec B, Armstrong PW (2004) The use of beta-blockers in a tertiary care heart failure clinic: dosing, tolerance, and outcomes. Arch Intern Med 164(7):769–774

    Article  PubMed  CAS  Google Scholar 

  14. Tribouilloy C, Rusinaru D, Leborgne L, Peltier M, Massy Z, Slama M (2008) Prognostic impact of angiotensin-converting enzyme inhibitor therapy in diastolic heart failure. Am J Cardiol 101(5):639–644

    Article  PubMed  CAS  Google Scholar 

  15. Jones RH, Velazquez EJ, Michler RE, Sopko G, Oh JK, O’Connor CM, Hill JA, Menicanti L, Sadowski Z, Desvigne-Nickens P, Rouleau JL, Lee KL (2009) Coronary bypass surgery with or without surgical ventricular reconstruction. N Engl J Med 360(17):1705–1717

    Article  PubMed  CAS  Google Scholar 

  16. Velazquez EJ, Lee KL, Deja MA, Jain A, Sopko G, Marchenko A, Ali IS, Pohost G, Gradinac S, Abraham WT, Yii M, Prabhakaran D, Szwed H, Ferrazzi P, Petrie MC, O’Connor CM, Panchavinnin P, She L, Bonow RO, Rankin GR, Jones RH, Rouleau JL (2011) Coronary-artery bypass surgery in patients with left ventricular dysfunction. N Engl J Med 364(17):1607–1616

    Article  PubMed  CAS  Google Scholar 

  17. Mark DB, Knight JD, Velazquez EJ, Howlett JG, Spertus JA, Djokovic LT, Harding TM, Rankin GR, Drew LA, Szygula-Jurkiewicz B, Adlbrecht C, Anstrom KJ (2009) Quality of life and economic outcomes with surgical ventricular reconstruction in ischemic heart failure: results from the Surgical Treatment for Ischemic Heart Failure trial. Am Heart J 157(5):837–844, e831–e833

    Google Scholar 

  18. Buckberg GD, Athanasuleas CL, Wechsler AS, Beyersdorf F, Conte JV, Strobeck JE (2010) The STICH trial unravelled. Eur J Heart Fail 12(10):1024–1027

    Article  PubMed  Google Scholar 

  19. Rouleau JL, Michler RE, Velazquez EJ, Oh JK, O’Connor CM, Desvigne-Nickens P, Sopko G, Lee KL, Jones RH (2010) The STICH trial: evidence-based conclusions. Eur J Heart Fail 12(10):1028–1030

    Article  PubMed  Google Scholar 

  20. Pfeffer JM, Pfeffer MA, Braunwald E (1985) Influence of chronic captopril therapy on the infarcted left ventricle of the rat. Circ Res 57(1):84–95

    Article  PubMed  CAS  Google Scholar 

  21. Pfeffer MA, Braunwald E (1990) Ventricular remodeling after myocardial infarction. Experimental observations and clinical implications. Circulation 81(4):1161–1172

    Article  PubMed  CAS  Google Scholar 

  22. Cohn JN, Ferrari R, Sharpe N (2000) Cardiac remodeling–concepts and clinical implications: a consensus paper from an international forum on cardiac remodeling. Behalf of an International Forum on Cardiac Remodeling. J Am Coll Cardiol 35(3):569–582

    Article  PubMed  CAS  Google Scholar 

  23. Kehat I, Molkentin JD (2010) Molecular pathways underlying cardiac remodeling during pathophysiological stimulation. Circulation 122(25):2727–2735

    Article  PubMed  Google Scholar 

  24. Lindsey ML (2004) MMP induction and inhibition in myocardial infarction. Heart Fail Rev 9(1):7–19

    Article  PubMed  CAS  Google Scholar 

  25. Wallen WJ, Rao V (2010) Surgical remodeling of the left ventricle in heart failure. Ann Thorac Cardiovasc Surg 16(2):72–77

    PubMed  Google Scholar 

  26. McDonald RH Jr, Taylor RR, Cingolani HE (1966) Measurement of myocardial developed tension and its relation to oxygen consumption. Am J Physiol 211(3):667–673

    PubMed  Google Scholar 

  27. Abe T, Fukada J, Morishita K (2001) The Batista procedure: fact, fiction and its role in the management of heart failure. Heart Fail Rev 6(3):195–199

    Article  PubMed  CAS  Google Scholar 

  28. Batista RJ, Verde J, Nery P, Bocchino L, Takeshita N, Bhayana JN, Bergsland J, Graham S, Houck JP, Salerno TA (1997) Partial left ventriculectomy to treat end-stage heart disease. Ann Thoracic Surg 64(3):634–638

    Article  CAS  Google Scholar 

  29. Nicolosi AC, Weng ZC, Detwiler PW, Spotnitz HM (1990) Simulated left ventricular aneurysm and aneurysm repair in swine. J Thorac Cardiovasc Surg 100(5):745–755

    PubMed  CAS  Google Scholar 

  30. Klein P, Bax JJ, Shaw LJ, Feringa HH, Versteegh MI, Dion RA, Klautz RJ (2008) Early and late outcome of left ventricular reconstruction surgery in ischemic heart disease. Eur J Cardiothorac Surg 34(6):1149–1157

    Article  PubMed  Google Scholar 

  31. Buckberg GD, Coghlan HC, Torrent-Guasp F (2001) The structure and function of the helical heart and its buttress wrapping. V. Anatomic and physiologic considerations in the healthy and failing heart. Semin Thorac Cardiovasc Surg 13(4):358–385

    PubMed  CAS  Google Scholar 

  32. Cleland JG, Daubert JC, Erdmann E, Freemantle N, Gras D, Kappenberger L, Tavazzi L (2005) The effect of cardiac resynchronization on morbidity and mortality in heart failure. N Engl J Med 352(15):1539–1549

    Article  PubMed  CAS  Google Scholar 

  33. Linde C, Abraham WT, Gold MR, St John Sutton M, Ghio S, Daubert C (2008) Randomized trial of cardiac resynchronization in mildly symptomatic heart failure patients and in asymptomatic patients with left ventricular dysfunction and previous heart failure symptoms. J Am Coll Cardiol 52(23):1834–1843

    Article  PubMed  Google Scholar 

  34. Huether J, Doenst T, Nitzsche S, Thiele H, Mohr FW, Gutberlet M (2011) Cardiac magnetic resonance imaging for the assessment of ventricular function, geometry, and viability before and after surgical ventricular reconstruction. J Thorac Cardiovasc Surg 142(6):1515–1522

    Article  Google Scholar 

  35. Di Donato M, Castelvecchio S, Kukulski T, Bussadori C, Giacomazzi F, Frigiola A, Menicanti L (2009) Surgical ventricular restoration: left ventricular shape influence on cardiac function, clinical status, and survival. Ann Thorac Surg 87(2):455–461

    Article  PubMed  Google Scholar 

  36. Menicanti L, Castelvecchio S, Ranucci M, Frigiola A, Santambrogio C, de Vincentiis C, Brankovic J, Di Donato M (2007) Surgical therapy for ischemic heart failure: single-center experience with surgical anterior ventricular restoration. J Thorac Cardiovasc Surg 134(2):433–441

    Article  PubMed  Google Scholar 

  37. Amigoni M, Meris A, Thune JJ, Mangalat D, Skali H, Bourgoun M, Warnica JW, Barvik S, Arnold JM, Velazquez EJ, Van de Werf F, Ghali J, McMurray JJ, Kober L, Pfeffer MA, Solomon SD (2007) Mitral regurgitation in myocardial infarction complicated by heart failure, left ventricular dysfunction, or both: prognostic significance and relation to ventricular size and function. Eur Heart J 28(3):326–333

    Article  PubMed  Google Scholar 

  38. Lancellotti P, Gerard PL, Pierard LA (2005) Long-term outcome of patients with heart failure and dynamic functional mitral regurgitation. Eur Heart J 26(15):1528–1532

    Article  PubMed  Google Scholar 

  39. Trichon BH, Felker GM, Shaw LK, Cabell CH, O’Connor CM (2003) Relation of frequency and severity of mitral regurgitation to survival among patients with left ventricular systolic dysfunction and heart failure. Am J Cardiol 91(5):538–543

    Article  PubMed  Google Scholar 

  40. Mihaljevic T, Lam BK, Rajeswaran J, Takagaki M, Lauer MS, Gillinov AM, Blackstone EH, Lytle BW (2007) Impact of mitral valve annuloplasty combined with revascularization in patients with functional ischemic mitral regurgitation. J Am Coll Cardiol 49(22):2191–2201

    Article  PubMed  Google Scholar 

  41. White HD, Norris RM, Brown MA, Brandt PW, Whitlock RM, Wild CJ (1987) Left ventricular end-systolic volume as the major determinant of survival after recovery from myocardial infarction. Circulation 76(1):44–51

    Article  PubMed  CAS  Google Scholar 

  42. Schreuder JJ, Steendijk P, van der Veen FH, Alfieri O, van der Nagel T, Lorusso R, van Dantzig JM, Prenger KB, Baan J, Wellens HJ, Batista RJ (2000) Acute and short-term effects of partial left ventriculectomy in dilated cardiomyopathy: assessment by pressure-volume loops. J Am Coll Cardiol 36(7):2104–2114

    Article  PubMed  CAS  Google Scholar 

  43. Gaudron P, Kugler I, Hu K, Bauer W, Eilles C, Ertl G (2001) Time course of cardiac structural, functional and electrical changes in asymptomatic patients after myocardial infarction: their inter-relation and prognostic impact. J Am Coll Cardiol 38(1):33–40

    Article  PubMed  CAS  Google Scholar 

  44. Bonow RO, Maurer G, Lee KL, Holly TA, Binkley PF, Desvigne-Nickens P, Drozdz J, Farsky PS, Feldman AM, Doenst T, Michler RE, Berman DS, Nicolau JC, Pellikka PA, Wrobel K, Alotti N, Asch FM, Favaloro LE, She L, Velazquez EJ, Jones RH, Panza JA (2011) Myocardial viability and survival in ischemic left ventricular dysfunction. N Engl J Med 364(17):1617–1625

    Article  PubMed  CAS  Google Scholar 

  45. Dor V (1997) The treatment of refractory ischemic ventricular tachycardia by endoventricular patch plasty reconstruction of the left ventricle. Semin Thorac Cardiovasc Surg 9(2):146–155

    PubMed  CAS  Google Scholar 

  46. O’Neill JO, Starling RC, Khaykin Y, McCarthy PM, Young JB, Hail M, Albert NM, Smedira N, Chung MK (2005) Residual high incidence of ventricular arrhythmias after left ventricular reconstructive surgery. J Thorac Cardiovasc Surg 130(5):1250–1256

    Article  PubMed  Google Scholar 

  47. Jais JM, Marchand M, de Riberolles C, Dubuis C, Neveux JY, Hazan E (1980) Surgery of post-myocardial infarction scars. Early and late results in 70 patients. Br Heart J 43(4):436–439

    Article  PubMed  CAS  Google Scholar 

  48. Lee GT Jr, Newton MC, Crosby IK, Burwell LR, Wellons HA (1980) Evaluating candidates for ventricular aneurysmectomy. South Med J 73(5):611–614, 617

    Google Scholar 

  49. Crosby IK, Wellons HA Jr, Martin RP, Schuch D, Muller WH Jr (1980) Employability—a new indication for aneurysmectomy and coronary revascularization. Circulation 62(2 Pt 2):I79–I83

    PubMed  CAS  Google Scholar 

  50. Jones EL, Craver JM, Hurst JW, Bradford JA, Bone DK, Robinson PH, Cobbs BW, Thompkins TR, Hatcher CR Jr (1981) Influence of left ventricular aneurysm on survival following the coronary bypass operation. Ann Surg 193(6):733–742

    Article  PubMed  CAS  Google Scholar 

  51. Ratcliffe PJ, Kay P, Oldershaw PJ, Dawkins K, Cotter L, Lennox SC, Paneth M (1983) Long-term survival following left ventricular aneurysmectomy. J Cardiovasc Surg (Torino) 24(5):461–466

    CAS  Google Scholar 

  52. Barratt-Boyes BG, White HD, Agnew TM, Pemberton JR, Wild CJ (1984) The results of surgical treatment of left ventricular aneurysms. An assessment of the risk factors affecting early and late mortality. J Thorac Cardiovasc Surg 87(1):87–98

    PubMed  CAS  Google Scholar 

  53. Novick RJ, Stefaniszyn HJ, Morin JE, Symes JF, Sniderman AD, Dobell AR (1984) Surgery for postinfarction left ventricular aneurysm: prognosis and long-term follow-up. Can J Surg 27(2):161–167

    PubMed  CAS  Google Scholar 

  54. Gonzalez-Santos JM, Ennabli K, Galinanes M, Bosch X, Lesperance J, Pelletier LC (1985) Surgical treatment of the post-infarction left ventricular aneurysm. Factors influencing early and late results. Thorac Cardiovasc Surg 33(2):86–93

    Article  PubMed  CAS  Google Scholar 

  55. Faxon DP, Myers WO, McCabe CH, Davis KB, Schaff HV, Wilson JW, Ryan TJ (1986) The influence of surgery on the natural history of angiographically documented left ventricular aneurysm: the Coronary Artery Surgery Study. Circulation 74(1):110–118

    Article  PubMed  CAS  Google Scholar 

  56. Akins CW (1986) Resection of left ventricular aneurysm during hypothermic fibrillatory arrest without aortic occlusion. J Thorac Cardiovascu Surg 91(4):610–618

    CAS  Google Scholar 

  57. Wright JS, Stacey RB, Albrecht H, Murton MM (1987) Left ventricular aneurysm surgery. Determinants of results. J Cardiovasc Surg (Torino) 28(1):85–88

    CAS  Google Scholar 

  58. Vauthey JN, Berry DW, Snyder DW, Gilmore JC, Sundgaard-Riise K, Mills NL, Ochsner JL (1988) Left ventricular aneurysm repair with myocardial revascularization: an analysis of 246 consecutive patients over 15 years. Ann Thorac Surg 46(1):29–35

    Article  PubMed  CAS  Google Scholar 

  59. Cosgrove DM, Lytle BW, Taylor PC, Stewart RW, Golding LA, Mahfood S, Goormastic M, Loop FD (1989) Ventricular aneurysm resection. Trends in surgical risk. Circulation 79(6 Pt 2):I97–I101

    PubMed  CAS  Google Scholar 

  60. Mangschau A, Simonsen S, Abdelnoor M, Laake B, Geiran O (1989) Evaluation for left ventricular aneurysm resection: a prospective study of clinical and haemodynamic characteristics. Eur J Cardiothorac Surg 3(1):58–64

    Article  PubMed  CAS  Google Scholar 

  61. Magovern GJ, Sakert T, Simpson K, Laub GW, Park SB, Liebler G, Burkholder J, Maher T, Benckart D, Magovern GJ Jr (1989) Surgical therapy for left ventricular aneurysms. A ten-year experience. Circulation 79(6 Pt 2):I102–I107

    PubMed  CAS  Google Scholar 

  62. Louagie Y, Alouini T, Lesperance J, Pelletier LC (1989) Left ventricular aneurysm complicated by congestive heart failure: an analysis of long-term results and risk factors of surgical treatment. J Cardiovasc Surg (Torino) 30(4):648–655

    CAS  Google Scholar 

  63. Couper GS, Bunton RW, Birjiniuk V, DiSesa VJ, Fallon MP, Collins JJ Jr, Cohn LH (1990) Relative risks of left ventricular aneurysmectomy in patients with akinetic scars versus true dyskinetic aneurysms. Circulation 82(5 Suppl):IV248–IV256

    PubMed  CAS  Google Scholar 

  64. Dor V, Bourlon F, Sabatier M, Grinneiser D, Montiglio F, Coste P, Saab M, Rossi P (1990) Reconstruction of the left ventricle by circular endoventriculoplasty with septal exclusion. Arch Mal Coeur Vaiss 83(11):1687–1694

    PubMed  CAS  Google Scholar 

  65. Wellens F, Degrieck Y, Deferm H, Goldstein JP, De Geest R, Vanermen H (1991) Surgical treatment of left ventricular aneurysm and ischemic mitral incompetence. Acta Chir Belg 91(1):44–49

    PubMed  CAS  Google Scholar 

  66. Di Donato M, Barletta G, Maioli M, Fantini F, Coste P, Sabatier M, Montiglio F, Dor V (1992) Early hemodynamic results of left ventricular reconstructive surgery for anterior wall left ventricular aneurysm. Am J Cardiol 69(9):886–890

    Article  PubMed  Google Scholar 

  67. Komeda M, David TE, Malik A, Ivanov J, Sun Z (1992) Operative risks and long-term results of operation for left ventricular aneurysm. Ann Thorac Surg 53(1):22–28 (discussion 28–29)

    Article  PubMed  CAS  Google Scholar 

  68. Besa G (1992) Left ventricular aneurysmectomy: technical evolution and results. G Ital Cardiol 22(3):331–336

    PubMed  CAS  Google Scholar 

  69. Salati M, Di Biasi P, Paje A, Cialfi A, Bozzi G, Santoli C (1993) Functional results of left ventricular reconstruction. Ann Thorac Surg 56(2):316–322

    Article  PubMed  CAS  Google Scholar 

  70. Salati M, Di Biasi P, Paje A, Santoli C (1993) Left ventricular geometry after endoventriculoplasty. Eur J Cardiothorac Surg 7(11):574–578 (discussion 579)

    Article  PubMed  CAS  Google Scholar 

  71. Coltharp WH, Hoff SJ, Stoney WS, Alford WC, Jr, Burrus GR, Glassford DM Jr, Lea JWt, Petracek MR, Starkey TD, Shuman TA (1994) Ventricular aneurysmectomy. A 25-year experience. Ann Surg 219(6):707–713 (discussion 713–704)

    Article  PubMed  CAS  Google Scholar 

  72. Stolf NA, Erdman S, Santos G, Haddad V, Simoes R (1994) Geometric reconstruction in left ventricular aneurysm. Surgical aspects and early results. J Cardiovasc Surg (Torino) 35(6 Suppl 1):73–80

    CAS  Google Scholar 

  73. Grossi EA, Chinitz LA, Galloway AC, Delianides J, Schwartz DS, McLoughlin DE, Keller N, Kronzon I, Spencer FC, Colvin SB (1995) Endoventricular remodeling of left ventricular aneurysm. Functional, clinical, and electrophysiological results. Circulation 92(9 Suppl):II98–II100

    PubMed  CAS  Google Scholar 

  74. Hamulu A, Discigil B, Ozbaran M, Atay Y, Yagdi T, Buket S, Yuksel M, Durmaz I (1996) Endoaneurysmorrhaphy for left ventricular aneurysm. Follow-up in 69 patients. Tex Heart Inst J 23(3):207–210

    PubMed  CAS  Google Scholar 

  75. Di Donato M, Sabatier M, Dor V, Toso A, Maioli M, Fantini F (1997) Akinetic versus dyskinetic postinfarction scar: relation to surgical outcome in patients undergoing endoventricular circular patch plasty repair. J Am Coll Cardiol 29(7):1569–1575

    Article  PubMed  Google Scholar 

  76. Sosa E, Scanavacca M, d’Avila A, Fukushima J, Jatene A (1998) Long-term results of visually guided left ventricular reconstruction as single therapy to treat ventricular tachycardia associated with postinfarction anteroseptal aneurysm. J Cardiovasc Electrophysiol 9(11):1133–1143

    Article  PubMed  CAS  Google Scholar 

  77. Vicol C, Rupp G, Fischer S, Summer C, Dietrich Bolte H, Struck E (1998) Linear repair versus ventricular reconstruction for treatment of left ventricular aneurysm: a 10-year experience. J Cardiovasc Surg (Torino) 39(4):461–467

    CAS  Google Scholar 

  78. Vural KM, Sener E, Ozatik MA, Tasdemir O, Bayazit K (1998) Left ventricular aneurysm repair: an assessment of surgical treatment modalities. Eur J Cardiothorac Surg 13(1):49–56

    Article  PubMed  CAS  Google Scholar 

  79. Pasini S, Gagliardotto P, Punta G, Del Ponte S, Serra M, Parisi F, Ottino G, Di Summa M (1998) Early and late results after surgical therapy of postinfarction left ventricular aneurysm. J Cardiovasc Surg (Torino) 39(2):209–215

    CAS  Google Scholar 

  80. Di Mattia DG, Di Biasi P, Salati M, Mangini A, Fundaro P, Santoli C (1999) Surgical treatment of left ventricular post-infarction aneurysm with endoventriculoplasty: late clinical and functional results. Eur J Cardiothorac Surg 15(4):413–418

    Article  PubMed  Google Scholar 

  81. Silveira WL, Leite AF, Soares EC, Nery MW, Carneiro AF, Oliveira VG (2000) Short-term follow-up of patients after aneurysmectomy of the left ventricle. Arq Bras Cardiol 75(5):401–404

    Article  PubMed  CAS  Google Scholar 

  82. Mickleborough LL, Carson S, Ivanov J (2001) Repair of dyskinetic or akinetic left ventricular aneurysm: results obtained with a modified linear closure. J Thorac Cardiovasc Surg 121(4):675–682

    Article  PubMed  CAS  Google Scholar 

  83. Doss M, Martens S, Sayour S, Hemmer W (2001) Long term follow up of left ventricular function after repair of left ventricular aneurysm. A comparison of linear closure versus patch plasty. Eur J Cardiothorac Surg 20(4):783–785

    Article  PubMed  CAS  Google Scholar 

  84. Di Donato M, Sabatier M, Dor V (2001) Surgical ventricular restoration in patients with postinfarction coronary artery disease: effectiveness on spontaneous and inducible ventricular tachycardia. Semin Thorac Cardiovasc Surg 13(4):480–485

    PubMed  Google Scholar 

  85. Cherniavsky AM, Karaskov AM, Marchenko AV, Mikova NV (2001) Preoperative modeling of an optimal left ventricle volume for surgical treatment of ventricular aneurysms. Eur J Cardiothorac Surg 20(4):777–782

    Article  PubMed  CAS  Google Scholar 

  86. Castiglioni A, Quarti A, Schreuder J, Blasio A, Benussi S, Torracca L, Maisano F, Alfieri O (2002) Surgical restoration of the left ventricle for post infarction aneurysm. Ital Heart J 3(6):370–374

    PubMed  Google Scholar 

  87. Suzer K, Yorgancioglu C, Gunaydin S, Tokmakoglu H, Tezcaner T (2002) Surgical management of left ventricular aneurysms by endoventricular pericardial patch plasty. Cardiovasc Surg 10(3):216–221

    Article  PubMed  Google Scholar 

  88. Tavakoli R, Bettex D, Weber A, Brunner H, Genoni M, Pretre R, Jenni R, Turina M (2002) Repair of postinfarction dyskinetic LV aneurysm with either linear or patch technique. Eur J Cardiothorac Surg 22(1):129–134

    Article  PubMed  Google Scholar 

  89. Ural E, Yuksel H, Pehlivanoglu S, Bakay C, Olga R (2002) Short and long term survival of surgical treatment of left ventricular aneurysms: ten years experience. Jpn Heart J 43(4):379–387

    Article  PubMed  Google Scholar 

  90. Dor V (2002) Left ventricular reconstruction for ischemic cardiomyopathy. J Card Surg 17(3):180–187

    Article  PubMed  Google Scholar 

  91. Calafiore AM, Gallina S, Di Mauro M, Pano M, Teodori G, Di Giammarco G, Contini M, Iaco AL, Vitolla G (2003) Left ventricular aneurysmectomy: endoventricular circular patch plasty or septoexclusion. J Card Surg 18(2):93–100

    Article  PubMed  Google Scholar 

  92. Bolooki H, DeMarchena E, Mallon SM, Katariya K, Barron M, Bolooki HM, Thurer RJ, Novak S, Duncan RC (2003) Factors affecting late survival after surgical remodeling of left ventricular aneurysms. J Thorac Cardiovascu Surg 126(2):374–383 (discussion 383–375)

    Article  Google Scholar 

  93. Mickleborough LL, Merchant N, Ivanov J, Rao V, Carson S (2004) Left ventricular reconstruction: early and late results. J Thorac Cardiovascu Surg 128(1):27–37

    Article  Google Scholar 

  94. Kokaji K, Shin H, Hotoda K, Mori M, Kumamaru H, Yozu R (2004) Changes in left ventricular volume and predictors of cardiac events after endoventricular circular patch plasty. Jpn J Thorac Cardiovasc Surg 52(12):551–559

    Article  PubMed  Google Scholar 

  95. Matthias Bechtel JF, Tolg R, Graf B, Richardt G, Noetzold A, Kraatz EG, Sievers HH, Bartels C (2004) High incidence of sudden death late after anterior LV-aneurysm repair. Eur J Cardiothorac Surg 25(5):807–811

    Article  PubMed  CAS  Google Scholar 

  96. Lundblad R, Abdelnoor M, Svennevig JL (2004) Surgery for left ventricular aneurysm: early and late survival after simple linear repair and endoventricular patch plasty. J Thorac Cardiovasc Surg 128(3):449–456

    Article  PubMed  Google Scholar 

  97. Hirnle T, Sobkowicz B, Hirnle G (2005) Surgical restoration of left ventricle after myocardial infarction. Pol Merkur Lekarski 19(110):199–202

    PubMed  Google Scholar 

  98. Sartipy U, Albage A, Lindblom D (2005) The Dor procedure for left ventricular reconstruction. Ten-year clinical experience. Eur J Cardiothorac Surg 27(6):1005–1010

    Article  PubMed  Google Scholar 

  99. Roscitano A, Capuano F, Simon C, Filippelli S, Mazzesi G, Tonelli E, Sinatra R (2005) Left ventricular aneurysm repair: early survival. Ital Heart J 6(2):143–149

    PubMed  Google Scholar 

  100. Marchenko AV, Cherniavsky AM, Volokitina TL, Alsov SA, Karaskov AM (2005) Left ventricular dimension and shape after postinfarction aneurysm repair. Eur J Cardiothorac Surg 27(3):475–480 (discussion 480)

    Article  PubMed  CAS  Google Scholar 

  101. Kalkat MS, Dandekar U, Smallpeice C, Parmar J, Satur C, Levine A (2006) Left ventricular aneurysmectomy: tailored scar excision and linear closure. Asian Cardiovasc Thorac Ann 14(3):231–234

    PubMed  Google Scholar 

  102. Raman J, Dixit A, Bolotin G, Jeevanandam V (2006) Failure modes of left ventricular reconstruction or the Dor procedure: a multi-institutional perspective. Eur J Cardiothorac Surg 30(2):347–352

    Article  PubMed  Google Scholar 

  103. Baev B, Petkov D, Nikolov D, Nachev G (2006) Surgical treatment of left ventricular aneurysms–midterm results with two types of repair–linear resection and endoventricular repair. Khirurgiia (Sofiia) 4–5:15–18

    Google Scholar 

  104. Hernandez AF, Velazquez EJ, Dullum MK, O’Brien SM, Ferguson TB, Peterson ED (2006) Contemporary performance of surgical ventricular restoration procedures: data from the Society of Thoracic Surgeons’ National Cardiac Database. Am Heart J 152(3):494–499

    Article  PubMed  Google Scholar 

  105. Sartipy U, Albage A, Straat E, Insulander P, Lindblom D (2006) Surgery for ventricular tachycardia in patients undergoing left ventricular reconstruction by the Dor procedure. Ann Thorac Surg 81(1):65–71

    Article  PubMed  Google Scholar 

  106. Mukaddirov M, Frapier JM, Demaria RG, Albat B (2008) Surgical treatment of postinfarction anterior left ventricular aneurysms: linear vs. patch plasty repair. Interact Cardiovasc Thorac Surg 7(2):256–261

    Article  PubMed  Google Scholar 

  107. Unic D, Baric D, Sutlic Z, Rudez I, Ivkovic M, Planinc M, Jonjic D (2009) Long-term results after reconstructive surgery for aneurysms of the left ventricle. Heart Surg Forum 12(6):E354–E356

    Article  PubMed  Google Scholar 

  108. Zheng Z, Fan H, Feng W, Zhang S, Yuan X, Wang L, Song Y, Hu S (2009) Surgery of left ventricular aneurysm: a propensity score-matched study of outcomes following different repair techniques. Interact Cardiovasc Thorac Surg 9(3):431–436

    Article  PubMed  Google Scholar 

  109. Funder JA, Klaaborg KE, Egeblad H, Molgaard H, Poulsen SH, Sloth E, Wierup P (2009) Surgical left ventricle reconstruction for treatment of heart failure. Ugeskr Laeger 171(15):1281–1285

    PubMed  Google Scholar 

  110. Chen X, Qiu ZB, Xu M, Jiang YS, Wang LM, Shi HW, Mu XW, Chen XJ, Huang FH, Xiao LQ, Liu PS, Wang R (2010) Surgical treatment of post-infarction left ventricular aneurysm: clinical analysis. Zhonghua Yi Xue Za Zhi 90(48):3403–3406

    PubMed  Google Scholar 

  111. Almeida RM (2010) Quality of Life after 114 months of follow-up following geometric reconstruction of the left ventricle by endoventriculoplasty with septal exclusion. Heart Surg Forum 13(1):E40–E44

    Article  PubMed  Google Scholar 

  112. Bennetts JS, Byth K, Morris M, Paterson HS (2007) Left ventricular reconstruction by modified linear technique with absorbable suture. Heart Lung Circ 16(6):428–433

    Article  PubMed  Google Scholar 

  113. Erbasan O, Turkay C, Mete A, Turkay M, Golbasi I, Yilmaz H, Erdem O, Bayezid O (2009) Surgical treatment of left ventricular aneurysms: a comparison of long-term follow-up of left ventricular function for classic aneurysmectomy and endoaneurysmorrhaphy techniques. Heart Surg Forum 12(5):E272–E278

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

TD was supported by grant Do602/9-1 from the Deutsche Forschungsgemeinschaft (DFG). I wish to thank Andrea Schrepper, Dr. Kristin Rödiger, Dr. Michael Schwarzer, and Dr. T. Dung Nguyen for editorial assistance.

Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Jena University Hospital – Friedrich Schiller University Jena, Erlanger Allee 101, 07747, Jena, Germany

    Torsten Doenst

Authors
  1. Torsten Doenst
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Torsten Doenst.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Doenst, T. Surgical approaches to left ventricular reconstruction: a matter of perspective. Heart Fail Rev 18, 15–25 (2013). https://doi.org/10.1007/s10741-011-9296-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10741-011-9296-5

Keywords

Search

Navigation