Left ventricular geometry reconstruction in ischemic cardiomyopathy patients with predominantly hypokinetic left ventricle

Abstract

A rebuilding procedure for the scarred heart is now introduced to be used in ischemic patients with dilated ischemic cardiomyopathy without significant scar. Preliminary structural and physiological results imply that creating an elliptical form has potential importance during LV reconstruction of very sick patients with IDCMP without discrete scar.

Remodelamento reverso cirúrgico do ventrículo esquerdo: seguimento de 111 meses

“…These were similar to the majority of the studies, but both the duration of hospital stay (7.4 ± 4.1 days) and ICU were similar to those of patients who underwent only coronary revascularization at ICCOP. Bockeria et al [21] demonstrated a time of hospital stay of 21.4 ± 6.9 days, in a group of patients with similar functional class and ventricular function of LV (EF), respectively (3.6 ± 0.5 x 3.5 ± 0.3) and (32.3 ± 9.2 x 32.9 ± 5.4%). However, the use of ventricular assist device, intra-aortic balloon was very different (14.3 x 58%), which may explain the difference in immediate mortality, in adittion to the group of Bockeria et al [21] represents only a subgroup of their experience (14/224), which was removed the initial experience.…”

“…Bockeria et al [21] demonstrated a time of hospital stay of 21.4 ± 6.9 days, in a group of patients with similar functional class and ventricular function of LV (EF), respectively (3.6 ± 0.5 x 3.5 ± 0.3) and (32.3 ± 9.2 x 32.9 ± 5.4%). However, the use of ventricular assist device, intra-aortic balloon was very different (14.3 x 58%), which may explain the difference in immediate mortality, in adittion to the group of Bockeria et al [21] represents only a subgroup of their experience (14/224), which was removed the initial experience. These data differ from those presented by Gomes et al [22], in a group of 11 patients in a limited period in which there was no mortality or use of circulatory assistance.…”

Surgical Ventricular Restoration: An Operation to Reverse Remodeling - Clinical Application (Part II) (Supplementry Table)

“…LAD grafting is important to revascularize the upper septum. RCA/LCX grafting is crucial to revascularize the remote muscle which provides postoperative pump function [2]. …”

Avaliação morfogeométrica do ventrículo esquerdo e do anel valvar mitral na cardiomiopatia dilatada isquêmica ou idiopática: estudo comparativo computadorizado

“…• Cardiomiopatias específicas, as quais alguns autores, como Johnson et al 10 Independente das divergências classificatórias, um ponto comum é que, nessas doenças, as alterações na massa e, em especial, na geometria ventricular esquerda, geram conseqüências na mecânica dessa estrutura, com déficits de função e prognóstico va riáveis, sendo alvo, portanto, de diversas estratégias terapêuticas [20][21][22][23][24][25][26][27][28][29][30][31] .…”