[The left ventricular reconstructive surgery at the origin of the treatment of cardiac insufficiency].
The surgical method of ventricular reconstruction described by Dor is recalled with the clinical report of a patient who presented a ventricular aneurysm. The left ventricular reconstructive surgery is based on an anatomical design of the heart described by Torrent-Guasp, where the normal orientation of the left ventricular muscle fibers, oblique in direction, is found parallel with the base of the heart at the time of ventricular dilation. By giving again an elliptic form to the left ventricle, the left ventricular reconstructive surgery improves the cardiac function of the patient who developed a bulky aneurysm after an infarction. Based on this concept, other techniques of ventricular reconstruction intended for patients presenting dilated cardiomyopathy, of ischemic origin or not, are being studied.
Joudinaud
T M
TM
The International Heart Institute of Montana, Foundation at Saint-Patrick Hospital and Health Sciences Center, 554 West Broadway, Missoula, Montana 59801, USA. tomtomjoud@hotmail.com
Flecher
E
E
Tahta
S A
SA
Hvass
U
U
Duran
C
C
D006348:Cardiac Surgical Procedures / Q000379:methods; D006322:Heart Aneurysm / Q000150:complications / Q000601:surgery*; D006333:Heart Failure / Q000150:complications / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged