TY - JOUR
T1 - Surgical ventricular reconstruction for ischaemic heart failure
T2 - State of the art
AU - Castelvecchio, Serenella
AU - Garatti, Andrea
AU - Gagliardotto, Pier Vincenzo
AU - Menicanti, Lorenzo
PY - 2016/4/28
Y1 - 2016/4/28
N2 - Patients with ischaemic cardiomyopathy and left ventricular (LV) systolic dysfunction represent the highest-risk population with heart failure (HF). The cornerstone of treatment remains guideline-driven medical therapy, which is associated with significant improvement in survival and quality of life. The most commonly considered surgical interventions are coronary artery bypass graft surgery, at times combined with surgical ventricular reconstruction (SVR) and surgery for mitral valve regurgitation. Surgical ventricular reconstruction has been introduced as an optional therapeutic strategy aimed to reduce LV volumes through the exclusion of the scar tissue, thereby restoring the physiological volume and shape and improving cardiac function and clinical status. This review will briefly discuss the rationale to surgically reverse LV remodelling, the technique, and the indications, to the best of our knowledge, coming from the Center with the largest worldwide experience. The evolving data on the role of SVR for the treatment of ischaemic HF will be addressed as well.
AB - Patients with ischaemic cardiomyopathy and left ventricular (LV) systolic dysfunction represent the highest-risk population with heart failure (HF). The cornerstone of treatment remains guideline-driven medical therapy, which is associated with significant improvement in survival and quality of life. The most commonly considered surgical interventions are coronary artery bypass graft surgery, at times combined with surgical ventricular reconstruction (SVR) and surgery for mitral valve regurgitation. Surgical ventricular reconstruction has been introduced as an optional therapeutic strategy aimed to reduce LV volumes through the exclusion of the scar tissue, thereby restoring the physiological volume and shape and improving cardiac function and clinical status. This review will briefly discuss the rationale to surgically reverse LV remodelling, the technique, and the indications, to the best of our knowledge, coming from the Center with the largest worldwide experience. The evolving data on the role of SVR for the treatment of ischaemic HF will be addressed as well.
KW - Cardiac function
KW - Left ventricular remodelling
KW - Myocardial infarction
KW - Surgical ventricular reconstruction
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U2 - 10.1093/eurheartj/suw028
DO - 10.1093/eurheartj/suw028
M3 - Article
AN - SCOPUS:84966577798
VL - 18
SP - E8-E14
JO - European Heart Journal, Supplement
JF - European Heart Journal, Supplement
SN - 1520-765X
ER -