Surgical ventricular restoration with CABG with or without mitral repair: is it an ideal surgery?

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Surgical ventricular restoration with CABG with or without mitral repair: is it an ideal surgery?

Methods From April 2005 to April 2013, surgical ventricular restoration was performed in 48 patients (36 males), mean age 57 (41-74) years. All patients presented with angina and/or heart failure and/or ventricular tachycardia. Postinfarction left ventricular aneurysm was present in all 48 patients and ischemic dilated cardiomyopathy with a large akinetic left ventricle in 8. The preoperative l...

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Restrictive mitral annuloplasty with or without surgical ventricular restoration in ischemic dilated cardiomyopathy with severe mitral regurgitation.

BACKGROUND We assessed changes in left ventricular (LV) volume and function and in regional myocardial wall stress in noninfarcted segments after restrictive mitral annuloplasty (RMA) with or without surgical ventricular restoration (SVR). METHODS AND RESULTS Thirty-nine patients with ischemic cardiomyopathy (ejection fraction ≤ 0.35) and severe mitral regurgitation (≥ 3) were studied before ...

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Coronary bypass surgery with or without surgical ventricular reconstruction.

BACKGROUND Surgical ventricular reconstruction is a specific procedure designed to reduce left ventricular volume in patients with heart failure caused by coronary artery disease. We conducted a trial to address the question of whether surgical ventricular reconstruction added to coronary-artery bypass grafting (CABG) would decrease the rate of death or hospitalization for cardiac causes, as co...

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Surgical Ventricular Restoration for Ischemic Cardiomyopathy with Functional Mitral Regurgitation

Ischemic cardiomyopathy (ICM) is defined as diffuse akinesis of the ventricle after myocardial ischemia1). A subset of patients with ICM develop progressive heart failure as a consequence of adverse left ventricular (LV) remodeling, leading to a depressed ejection fraction, a dilated LV, a large akinetic region of the myocardium, an abnormal globular shape to the ventricular chamber, and functi...

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In patients undergoing mitral surgery for ischaemic mitral regurgitation is it preferable to repair or replace the mitral valve?

A best evidence topic was written according to a structured protocol. The question addressed was whether patients undergoing coronary bypass grafting and mitral intervention for moderate to severe ischaemic mitral regurgitation are best treated with mitral repair or replacement. Five hundred and fifty papers were found using the reported search. Based on the 14 non-randomised studies judged to ...

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ژورنال

عنوان ژورنال: Journal of Cardiothoracic Surgery

سال: 2013

ISSN: 1749-8090

DOI: 10.1186/1749-8090-8-s1-o190