title: [Surgical ventricular reconstruction for ischemic cardiomyopathy].
abstract: OBJECTIVE
  Ischemic cardiomyopathy (ICM) associated with advanced ventricular remodeling remains a surgical challenge. The purpose of this study was to evaluate long-term clinical and echocardiographic results following surgical ventricular reconstruction (SVR).
  
  
  METHODS
  From 1999 to 2009, 34 consecutive ICM patients with ejection fraction less than 35% underwent SVR. Cardiac catheterization was examined before and after surgery. Clinical follow-up and serial echocardiographic examinations were performed at baseline, 1 month, and annually thereafter.
  
  
  RESULTS
  Hospital mortality was 6% (n = 2) and the overall survival rate after 5 years was 70%. Angiogram findings revealed a reduction of left ventricular end-systolic volume index (112 +/- 47 ml/m2 vs. 62 +/- 28 ml/m2, p < 0.05) and improved left ventricular ejection fraction at 1 month after SVR. Serial echocardiogram findings demonstrated that significant reduction of left ventricular dimension was maintained along with well-controlled mitral regurgitation until 3 years after SVR.
  
  
  CONCLUSIONS
  In ICM patients, SVR restored left ventricular geometry and functions. Long-term followup with optimized medical treatment is necessary after SVR.
authors: Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Japan.
authors: Koichi
authors: K
authors: Toda
authors: Tomoyuki
authors: T
authors: Fujita
authors: Yusuke
authors: Y
authors: Shimahara
authors: Shunsuke
authors: S
authors: Sato
authors: Junjiro
authors: J
authors: Kobayashi
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D002311:Cardiomyopathy, Dilated / Q000601:surgery*; D004452:Echocardiography; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications