Background: Congestive heart failure (CHF) is ischaemic in aetiology in about two-thirds of cases.
Despite early reperfusion post myocardial infarction, late left ventricular (LV) dilatation
develops in about 20% of patients and leads to CHF [
[1]
]. Surgical Ventricular Restoration (SVR) is an operative method that aims to reduce
LV volume and restore LV elliptical shape and has been shown in several large series
to improve systolic function and functional status [
1
,
2
,
3
]. Whilst the STICH trial failed to show a clear benefit for SVR, we have continued
a remodelling program for patients whose failure symptoms are attributable to ventricular
size and dysfunction and whose geometry is suitable for SVR.To read this article in full you will need to make a payment
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References
- Surgical therapy for ischemic heart failure: Single-center experience with surgical anterior ventricular restoration.J Thorac Cardiovasc Surg. 2007; 134: 433-441
- Surgical ventricular restoration in the treatment of congestive heart failure.J Am Coll Cardiol. 2004; 44: 1439-1445
- Surgical remodeling of left ventricle.Surg Clin N Am. 2004; 84: 27-43
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© 2011 Published by Elsevier Inc.
