[Surgical ventricular restoration--new horizons in the treatment of ischemic cardiomyopathy].
Heart failure is a major health problem with increasing prevalence due to aging of the population and in addition to an increase in effective treatment and early myocardial reperfusion during acute myocardial infarction. Postinfarction left ventricular remodeling is characterized by chamber dilatation with an abnormal spherical shape leading to systolic and diastolic dysfunction frequently associated with mitral valve insufficiency and eventually heart failure. Intensive medical management reduces symptoms and improves survival. However, patients who are in NYHA functional class III or IV still have a poor prognosis. In this review article we will endeavor to summarize the emerging surgical approach "surgical ventricular restoration" for treating ventricular remodeling and ischemic cardiomyopathy. These concepts of restoration of the elliptical shape of the left ventricle and re-establishing the normal structure of the sub-valvular mitral apparatus are performed recently in our department.
Ben Gal
Yanai
Y
Department of Cardiothoracic Surgery, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University.
Sharony
Ram
R
Keren
Gad
G
Aviram
Galit
G
Uretzky
Gideon
G
D006348:Cardiac Surgical Procedures; D009202:Cardiomyopathies / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology / Q000601:surgery; D015425:Myocardial Reperfusion; D018579:Patient Selection; D011379:Prognosis; D016896:Treatment Outcome