title: Restoring an elliptical chamber during rebuilding a wrap around anterior infarction.
abstract: Left ventricular geometry is distorted after anterior infarction caused by occlusion of a wrap around left anterior descending artery. Loss of the apex creates a spherical left ventricular (LV) chamber, whose rebuilding requires reconstruction techniques that exclude the non-functional inferior wall. The described technique of tailoring the apex defines a way to create an oblique elliptical rim for subsequent patch placement to complete the restoration procedure. This method of ventricular rebuilding differs from methods that follow the inferior wall scar, which result in a restoration procedure that leaves a spherical or box-like apical region.
authors.affiliation: David Geffen School of Medicine at UCLA, 62-258 CHS, Los Angeles, CA 90095-1741, USA. gbuckberg@mednet.ucla.edu
authors.forename: Gerald
authors.initials: G
authors.lastname: Buckberg
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Menicanti
authors.forename: Sergio
authors.initials: S
authors.lastname: De Oliveira
authors.forename: Constantine
authors.initials: C
authors.lastname: Athanasuleas
mesh_terms: D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D006801:Humans; D009203:Myocardial Infarction / Q000473:pathology / Q000601:surgery*; D010496:Pericardium / Q000637:transplantation; D013536:Suture Techniques; D020257:Ventricular Remodeling