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Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation

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Left ventricular reconstruction: update to left ventricular aneurysm/reshaping techniques.

Serenella Castelvecchio¹, Lorenzo Menicanti

¹Department of Cardiac Surgery, I.R.C.C.S., Policlinico San Donato, Milan, Italy.

Multimedia Manual of Cardiothoracic Surgery : MMCTS

|January 14, 2014

Summary

Surgical left ventricular reconstruction (LVR) can reduce left ventricular volumes and improve function after myocardial infarction (MI). However, its added benefit when combined with coronary artery bypass grafting (CABG) requires further investigation.

Keywords:

Cardiac function Left ventricular remodelling Myocardial infarction Surgical ventricular reconstruction

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Area of Science:

Cardiovascular Surgery
Cardiac Remodeling Research
Interventional Cardiology

Background:

Left ventricular (LV) volume increase post-myocardial infarction (MI) signifies adverse remodeling, correlating with poor prognosis.
Current treatments for ischemic LV dysfunction focus on reversing this remodeling process.

Observation:

Surgical LV reconstruction (LVR) aims to reduce LV volumes by excluding scar tissue, restoring shape and function.
Studies indicate LVR is effective and safe, showing positive 5-year outcomes.

Findings:

The incremental benefit of LVR when added to coronary artery bypass grafting (CABG) remains a subject of debate.
Evidence suggests LVR can improve LV function and clinical status.

Implications:

LVR offers a therapeutic option for managing ischemic LV dysfunction and remodeling.
Further research is needed to clarify the combined efficacy of LVR and CABG.