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

Abstract

The surgical goal of recapturing normality is emphasized by Cirillo and colleagues 1 in their report of time analysis of physiologic left ventricular (LV) reconstruction, as his database on surgical ventricular restoration shows 0% hospital mortality and no worsening heart failure symptoms 7.9 years post operatively in patients with ischemic cardiomyopathy. The power of this study lies in addressing normality, recognizing its disruption by disease, and then rebuilding the normal ventricular ellipse.

The shape of a volume

“…The possibility to recover torsion by means of a surgical suture acting on residual myocardium is the most recent improvement in the comprehension of ischemic myocardial disease. The lack of consideration / use of this functional parameter could explain several failures in the surgical history of this cardiomyopathy [30][31][32][33][34][35][36][37][38][39][40][41][42].…”