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Commentary: Surgical ventricular reconstruction is the right choiceCentral Message

Lorenzo Arturo Menicanti, MD

JTCVS Open · 2021

doi:10.1016/j.xjon.2021.03.007 (opens in a new tab)

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Abstract

According to previous studies, at least 30% of patients with acute myocardial infarction experience an increase in left ventricular (LV) volume of at least 20% from baseline, despite a successful primary recanalization.1 LV volume is a major determinant of mortality.2 The ultimate goal of surgical ventricular reconstruction (SVR) is to induce a reverse remodeling, excluding the scar from the LV cavity and rebuilding the chamber with volume and shape as physiologically as possible. The goal is to achieve an end-systolic volume index of approximately 60 mL/m2, avoiding sphericalization and respecting the physiologic ellipsoid shape of the left ventricle.

Abstract licence: CC BY-NC-ND

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