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Ann Thorac Surg 2001;72:2148-2149
© 2001 The Society of Thoracic Surgeons

How to do it

A simple method of left ventricular reconstruction without patch for ischemic cardiomyopathy

Christiano Caldeira, MDa, Patrick M. McCarthy, MD*a

a Department of Thoracic and Cardiovascular Surgery, The Kaufman Center for Heart Failure, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

Accepted for publication August 18, 2001.

* Address reprint requests to Dr McCarthy, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave, Desk F-25, Cleveland, OH 44195, USA
e-mail: mccartp{at}ccf.org

Interest in reconstructive surgery for ischemic cardiomyopathy has increased. We prospectively studied patients undergoing left ventricular reconstruction for ischemic cardiomyopathy. This report describes our technique for no-patch repair of left anterior descending aneurysms or akinetic areas. Patients are selected for surgery with discreet left anterior descending scar, usually detected by preoperative magnetic resonance imaging scan and three-dimensional echocardiography, with compensated heart failure or other indications for surgery such as severe coronary artery disease or mitral regurgitation.




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