Ventricular reconstruction

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Under a Ventrikelrekonstruktion is meant a cardiac surgical procedure to normalize the geometry of the left ventricle of the heart to durchgemachtem heart attack .

After a major heart attack with significantly reduced pumping function , the formation of scar tissue and remodeling of the myocardium lead to ischemic cardiomyopathy . The altered shape of the left ventricle also worsens the ejection performance, so that surgically attempts are made to restore the heart to its original shape by removing non-pumping heart sections. This is intended to improve cardiac output.

A corresponding surgical procedure named after the Monegasque doctor Vincent M. Dor was published for the first time in 1989 . The procedure used today, the Surgical Anterior Ventricular Restoration Operation (SAVER-OP), is a modified technique of this ventricular reconstruction according to Dor.

In one study, SAVER surgery performed in addition to coronary artery bypass surgery could not be seen as having any advantage over bypass surgery alone.

Individual evidence

  1. ^ Monaco Cardiac Thoracic Center : Publications. (No longer available online.) Formerly in the original ; Retrieved April 3, 2009 .  ( Page no longer available , search in web archivesInfo: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice.@1@ 2Template: Dead Link /  
  2. ^ Dor V, Saab M, Coste P, Kornaszewska M, Montiglio F: Left ventricular aneurysm: a new surgical approach . In: Thorac Cardiovasc Surg . 37, No. 1, February 1989, pp. 11-19. PMID 2522252 .
  3. ^ Jones RH, et al: Coronary Bypass Surgery with or without Surgical Ventricular Reconstruction . In: N Engl J Med . Epub ahead of print, 2009 Mar 29. PMID 19329820 .
  4. Cardiomyopathy: Ventricular reconstruction without benefit after bypass surgery . In: Deutsches Ärzteblatt . March 31, 2009.