Surgical ventricular reconstruction combined with myocardial revascularization is an optional intervention to reduce left ventricular volume in selected patients with ischaemic cardiomyopathy.
Does surgical ventricular reconstruction combined with myocardial revascularization improve outcomes in patients with ischaemic cardiomyopathy?
This review outlines the rationale, technique, and indications for surgical ventricular reconstruction in selected patients with ischemic cardiomyopathy and heart failure.
An increase in left ventricular volume after a myocardial infarction is a key component of the adverse remodelling process leading to chamber dysfunction, heart failure and an unfavourable outcome. Hence, the therapeutic strategies have been designed to reverse the remodelling process by medical therapy, devices or surgical strategies. Surgical ventricular reconstruction primarily combined with myocardial revascularization has been introduced as an optional intervention aimed to reduce the left ventricle through resection of the scar tissue and is recommended in selected patients with predominant heart failure symptoms, and with myocardial scarring and moderate left ventricular remodelling. This review outlines the rationale and the technique for reconstructing the left ventricle and the possible indications for using that technique, based on experiences from the centre with the largest international experience. The major contributions in the literature are briefly discussed.
Castelvecchio et al. (Fri,) conducted a review in Ischaemic cardiomyopathy. Surgical ventricular reconstruction was evaluated. Surgical ventricular reconstruction combined with myocardial revascularization is an optional intervention to reduce left ventricular volume in selected patients with ischaemic cardiomyopathy.