ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Ann Thorac Surg 2009;87:455-461. doi:10.1016/j.athoracsur.2008.10.071
© 2009 The Society of Thoracic Surgeons
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Marisa Di Donato
Alessandro Frigiola
Lorenzo Menicanti
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Di Donato, M.
Right arrow Articles by Menicanti, L.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Di Donato, M.
Right arrow Articles by Menicanti, L.
Related Collections
Right arrow Congestive Heart Failure
Right arrow Myocardial infarction
Right arrowRelated Article

Original Articles: Adult Cardiac

Surgical Ventricular Restoration: Left Ventricular Shape Influence on Cardiac Function, Clinical Status, and Survival

Marisa Di Donato, MDa,*, Serenella Castelvecchio, MDb, Tomasz Kukulski, MDc, Claudio Bussadori, MDb, Francesca Giacomazzi, MDb, Alessandro Frigiola, MDb, Lorenzo Menicanti, MDb

a Department of Critical Care Medicine, University of Florence, Florence, Italy
b Department of Cardiac Surgery, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), San Donato Hospital, Milan, Italy
c Silesian Medical University Katowice, Silesian Center for Heart Diseases, Zabrze, Poland

Accepted for publication October 16, 2008.

* Address correspondence to Dr Di Donato, Department of Cardiac Surgery, IRCCS, San Donato Hospital, Via Morandi 30, San Donato Milanese, 20097, Italy (Email: marad{at}tin.it).

Background: Myocardial infarction can result in a spectrum of left ventricular (LV) shape abnormalities. Surgical ventricular restoration (SVR) can be applied to any, but there are no data that relate its effectiveness to LV shape. Moreover, there is no consensus on the benefit of SVR in patients with a markedly dilated ventricle, without clear demarcation between scarred and normal tissue. This study describes postmyocardial infarction shape abnormalities and cardiac function, clinical status, and survival in patients undergoing SVR.

Methods: Echo studies of 178 patients were retrospectively reviewed. Three types of LV shape abnormalities were identified: type 1 (true aneurysm), type 2 (nonaneurysmal lesions defined as intermediate cardiomyopathy), and type 3 (ischemic dilated cardiomyopathy).

Results: SVR induced significant improvement in cardiac and clinical status in all patients, regardless LV shape types. Although not significant, mortality was higher in types 2 and 3.

Conclusions: Ischemic dilated cardiomyopathy and not just the true aneurysm can be successfully treated with SVR. Shape classification may be useful to improve patient selection and compare results from different institutions that are otherwise impossible to compare.


Related Article

Invited Commentary
Anders Franco-Cereceda
Ann. Thorac. Surg. 2009 87: 461-462. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
G. D. Buckberg and C. L. Athanasuleas
The STICH trial: Misguided conclusions.
J. Thorac. Cardiovasc. Surg., November 1, 2009; 138(5): 1060 - 1064.e2.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Franco-Cereceda
Invited commentary.
Ann. Thorac. Surg., February 1, 2009; 87(2): 461 - 462.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 by The Society of Thoracic Surgeons.