Postinfarction left ventricle remodeling surgical treatment, different ways to get same result
1Departement of Cardiac Surgery, IRCCS Policlinico San Donato Hospital, San Donato Milanese, Milano, Italy.
Backgrround:
The Left Ventricle Volume is one of the most important risk factor of mortality in follow-up, after an Acute Myocardial Infarction.
Aims:
Surgical Ventricular reconstruction reduces the volume of left ventricle to target of LVESI below 60 ml/m2.
Methods:
This can be achieved with different surgical techniques adapted to anatomy of left ventricle in the way to exclude the scared tissue from the cavity of left ventricle. New cavity has to have an elipsoide shape and normal volume.
Conclusion:
This commentary stress out the importance using a sizer to guide the surgeons to acheive the target shape and volume using different techniques described in Calafiore and coworkers paper.
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