Key result
Surgical ventricular reconstruction using a sizer is important to guide surgeons in achieving the target ellipsoid shape and left ventricular volume below 60 ml/m2 after acute myocardial infarction.
This commentary emphasizes the importance of using a sizer to guide surgeons in achieving the target left ventricular shape and volume during surgical ventricular reconstruction post-myocardial infarction.
BACKGRROUND: The Left Ventricle Volume is one of the most important risk factor of mortality in follow-up, after an Acute Myocardial Infarction. AIMS: Surgical Ventricular reconstruction reduces the volume of left ventricle to target of LVESI below 60 ml/m2. METHODS: This can be achieved with different surgical techniques adapted to anatomy of left ventricle in the way to exclude the scared tissue from the cavity of left ventricle. New cavity has to have an elipsoide shape and normal volume. CONCLUSION: This commentary stress out the importance using a sizer to guide the surgeons to acheive the target shape and volume using different techniques described in Calafiore and coworkers paper.
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Lorenzo Menicanti (2021) conducted an editorial in Postinfarction left ventricle remodeling. Surgical ventricular reconstruction using a sizer was evaluated on Target left ventricular end-systolic volume index (LVESI) below 60 ml/m2. Surgical ventricular reconstruction using a sizer is important to guide surgeons in achieving the target ellipsoid shape and left ventricular volume below 60 ml/m2 after acute myocardial infarction.
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