Abstract
The role of surgical ventricular restoration (SVR) has been clearly established as an option for treatment of advanced heart failure due to ischemic cardiomyopathy with large aneurysms. Its role is limited in patients with diffusely dilated akinetic ventricles (dilated cardiomyopathy), although Suma et al. [1] have surgically restored large akinetic ventricles using long ellipsoid intraventricular patches. The technique of SVR has been successful only in those patients with large areas of akinesis or dyskinesis, that is, areas of dyssynergy which measure >20% of the ventricular surface area. The existence of viable contractile myocardium is an absolute must for the success of SVR.
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References
Suma H, Isomura T, Horii T, Nomura F. Septal anterior ventricular exclusion procedure for idiopathic dilated cardiomyopathy. Ann Thorac Surg. 2006;82:1344–8.
Lundblad R, Abdelnoor M, Svennevig JL. Surgery for left ventricular aneurysm: early and late survival after simple linear repair and endoventricular patch plasty. J Thorac Cardiovasc Surg. 2004;128:449–56.
Parolari A, Naliato M, Loardi C, Denti P, Trezzi M, Zanobini M, Porqueddu M, Roberto M, Kassem S, Alamanni F, Tremoli E, Biglioli P. Surgery of left ventricular aneurysm: a meta-analysis of early outcomes following different reconstruction techniques. Ann Thorac Surg. 2007;83:2009–16.
Biederman RWW, Doyle M. The contribution of CMR to patients undergoing the surgical ventricular restoration (SVR) procedure; one center’s experience over five years. Open Magn Reson. 2009;2:33–45.
Vayo HW. Theory of the left ventricular aneurysm. Bull Math Biophys. 1966;28:363.
Klein MD, Herman MV, Gorlin R. A hemodynamic study of left ventricular aneurysm. Circulation. 1967;35:614–30.
Qin JX, Jones M, Shiota T, Greenberg NL, Tsujino H, Firstenberg MS, Gupta PC, Zetts AD, Xu Y, Sun JP, Cardon LA, Odabashian JA, Flamm SD, White RD, Panza JA, Thomas JD. Validation of real-time three-dimensional echocardiography for quantifying left ventricular volumes in the presence of a left ventricular aneurysm: in vitro and in vivo studies. J Am Coll Cardiol. 2000;36:900–7.
Malm S, Frigstad S, Sagberg E, Larsson H, Skjaerpe T. Accurate and reproducible measurement of left ventricular volume and ejection fraction by contrast echocardiography: a comparison with magnetic resonance imaging. J Am Coll Cardiol. 2004;44:1030–5.
Parachuri VR, Adhyapak SM, Kumar P, Setty R, Rathod R, Shetty DP. Ventricular restoration by linear endoventricular patch plasty and linear repair. Asian Cardiovasc Thorac Ann. 2008;16:401–6.
Sheehan FH, Bolson EL, Dodge HT, Mathey DG, Schofer J, Woo HW. Advantages and applications of the centerline method for characterizing regional ventricular function. Circulation. 1986;74:293–305.
Adhyapak SM, Parachuri VR. Architecture of the left ventricle: insights for optimal surgical ventricular restoration. Heart Fail Rev. 2010;15(1):73–83.
Kass DA, Traill TA, Keating M, Altieri PI, Maughan WL. Shape changes in aortic and mitral regurgitation: assessment by Fourier shape analysis and global geometric indices. Circ Res. 1988;62(1):127–38.
Adhyapak SM, Parachuri VR. Lessons from a mathematical hypothesis: modification of the endoventricular circular patch plasty. Eur J Cardiothorac Surg. 2011;39:945–51.
Fantini F, Montiglio F, Sabatier M, Coste P, Barletta G, Donato D. Left ventricular shape changes induced by aneurysmectomy with endoventricular circular patch plasty reconstruction. Eur Heart J. 1994;15(8):1063–9.
Mitchell GF, Lamas GA, Vaughan DE, Pfeffer MA. Left ventricular remodeling in the year after first anterior myocardial infarction: a quantitative analysis of contractile segment lengths and ventricular shape. J Am Coll Cardiol. 1992;19(6):1136–44.
Renlund DG, Gerstenblith G, Fleg JL, Becker LC, Lakatta EG. Interaction between end diastolic and end systolic volumes in normal humans. Am J Physiol Heart Circ Physiol. 1990;258(2):H473–81.
Adhyapak SM, Parachuri VR. Impact of surgical ventricular restoration on stroke volume: surgical fine tuning of the relationship between end diastolic volume and stroke volume. J Thorac Cardiovasc Surg. 2011;141:1552–3.
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Parachuri, V.R., Adhyapak, S.M. (2012). Surgical Ventricular Restoration by the Technique of Endoventricular Linear Patch Plasty: Long-Term Clinical Results. In: Ventricular Geometry in Post-Myocardial Infarction Aneurysms. Springer, London. https://doi.org/10.1007/978-1-4471-2861-8_8
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DOI: https://doi.org/10.1007/978-1-4471-2861-8_8
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