Editorial commentSurgical planning for surgical ventricular restoration involves decision options on form versus disease

Abstract

23] Ueno T, Sakata R, Iguro Y, Yamamoto H, Ueno M, Matsumoto K. Mid-term changes of left ventricular geometry and function after the Dor, SAVE, and Overlapping procedures. Eur J Cardiothorac Surg 2007;32:52-7. [24] Marchenko AV, Cherniavsky AM, Volokitina TL, Alsov SA, Karaskov AM. Left ventricular dimension and shape after postinfarction aneurysm repair. Eur J Cardiothorac Surg 2005;27:475-80. [25] Mukaddirov M, Frapier JM, Demaria RG, Albat B. Surgical treatment of postinfarction left ventricular aneurysms: linear vs. patch plasty repair.

Physiologic left ventricular reconstruction: Shape, function, and time recaptured

“…The terminal upper point may contain either normal muscle or scar tissue (which may end in the lower septum). 4 Restoration of form, not merely disease exclusion, has become a surgical goal. Isomura and associates 5 demonstrated the importance of rebuilding shape versus simply reducing LV size, reporting an 86% 8-year survival rate in patients with hearts of the same size as in the study of Cirillo and colleagues, 1 and an overall long-term survival of 72% versus 61% with a ''shape'' yardstick.…”