Does surgical ventricular restoration improve survival in patients with anterior infarction congestive heart failure?
Tadashi Isomura
Correspondence Hayama Heart Center, 1898 Shimoyamaguchi, Hayama, Kanagawa 240-0116, Japan
Email isomura@hayamaheart.gr.jp
This article has no abstract so we have provided the first paragraph of the full text.
Since the partial left ventriculectomy to treat dilatated hearts was reported by Batista et al.,1 left-ventricular restoration (LVR) has become an interesting surgical procedure with much potential for patients with CHF and enlarged hearts. The mortality after Batista's operation, however, was high and late results were not favorable. In ischemic cardiomyopathy, coronary artery bypass grafting surgery can be an effective procedure, but the functional recovery is not sufficient and the recurrence of heart failure is high if ventricular remodeling has already occurred.3 In 1998, Dor et al. reported another type of LVR, ENDOVENTRICULAR CIRCULAR PATCH PLASTY. This procedure, initially reported in 1985, had been developed with contribution from Cooley et al. to treat ischemic dilatated hearts. Dor et al.2 concluded that the late results were similar to those of heart transplantation. This is the procedure that was investigated in the study by Athanasuleas et al.
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