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J Thorac Cardiovasc Surg 2008;136:1382-1383
© 2008 The American Association for Thoracic Surgery

Brief Communication

Surgical ventricular restoration by means of a new technique to preserve left ventricular compliance: The horseshoe repair

Paolo Ferrazzi, MD, FETCS*, Michele Triggiani, MD, PhD, Attilio Iacovoni, MD, Samuele Pentiricci, Francesco Vattimo, MD, Pervirgilio Parrella, ScD, Eugenio Quaini, MD

Cardiovascular Department, Ospedali Riuniti, Bergamo, Italy

Received for publication October 30, 2007; revisions received December 22, 2007; accepted for publication January 7, 2008.

* Address for reprints: Paolo Ferrazzi, MD, FETCS, Cardiovascular Department, Ospedali Riuniti, Largo Barozzi 1, 24128 Bergamo, Italy. (Email: pferrazzi@ospedaliriuniti.bergamo.it).

The first 20% of the full text of this article appears below.

The STICH trial will elucidate the results of surgical ventricular restoration (SVR) associated with coronary artery bypass grafting in patients with ischemic dilated cardiomyopathy but, while awaiting these findings, the current literature shows that left ventricular (LV) sphericalization, continued LV remodeling, and recurrent mitral valve (MV) regurgitation may occur after SVR.1Go One possible explanation for these events is the worsening or occurrence of diastolic dysfunction.2Go Until March 2005, we performed SVR by an endoventricular circular patch plasty (Dor procedure),3Go which consists of 2 circular purse-string sutures (Fontan stitch) and a polyester fiber patch that is much stiffer than the infarcted myocardium. In the Dor procedure, the amount of foreign material used and lateral wall involvement by the Fontan stitch may be responsible for worsening LV diastolic function, as is shown by the increased slope of the end-diastolic pressure/volume relationship (EDPVR).2Go

A number of authors have described modifications of the Dor technique based on the limited use . . . [Full Text of this Article]




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