Long-term outcomes after surgical ventricular restoration and coronary artery bypass grafting in patients with postinfarction left ventricular anterior aneurysm

Clinical and hemodynamic outcomes of the Dor procedure in adults with ischemic cardiomyopathy

Ischemic cardiomyopathy continues to be a major contributor to congestive heart failure, which places a significant burden on our healthcare system. Improving medications and different coronary revascularization strategies are the mainstays in the management of ischemic cardiomyopathy. Although medications and mechanical circulatory support are playing an ever-increasing role, cardiac transplantation remains the gold standard for treating advanced heart failure. Given the small number of available and suitable donor hearts, transplantation is limited for the majority of patients. Surgical ventricular restoration has repeatedly been suggested as a viable alternative in managing heart failure in select patients, as it is believed that surgically returning the ventricle to its original dimensions is possible and associated with favorable outcomes. The purpose of this manuscript is to comprehensively review the current literature on various surgical strategies for ventricular restoration. We also contextualize the published data with respect to ventricular function, volume, structure, arrhythmias, mitral regurgitation, and clinical outcomes.

A large left ventricular pseudoaneurysm evaluated with multimodality cardiac imaging

Rarely, the rupture of the free wall of the left ventricle is contained by an adherent pericardium, creating a pseudoaneurysm. This clinical finding calls for emergency surgery. However, true aneurysms, if no ruptures are detectable and myocardium wall integrity is confirmed, can often be managed medically. Therefore, the accurate diagnosis of these conditions is clinically important. In this report, we present a case of large left ventricular pseudoaneurysm evaluated with multimodality cardiac imaging.