Heart Failure Reviews

, Volume 9, Issue 4, pp 255–268 | Cite as

Ventricular Structure and Surgical History

  • Gerald Buckberg


The Reviews report will establish guidelines that underlie why the “restoration concept” may develop a paradigm shift in thinking, by addressing the geometric underpinnings of heart failure and their evolution. This presentation will (a) show that the underlying structure of the failing dilated heart involves a cardiac architectural change from the normal elliptical shape toward a dilated spherical form, (b) define the anatomic framework of this shape change, (c) convey the functional characteristics of heart function that result from this architectural underpinning, (d) describe the pattern of CHF development, (e) indicate imaging measurement guidelines to follow as heart form adversely changes from ellipse to sphere, (f) identify how such architectural changes alter prognosis, and (g) develop a historical evolution of surgical approaches to alter form to improve function to create the background for subsequent RESTORE team reports of current restoration to treat CHF and its complications.


helical heart congestive heart failure elliptical form spherical shape restoration asynergy LV culprit muscle culprit form 


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Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.David Geffen School of Medicine at UCLALos Angeles
  2. 2.California Institute of TechnologyPasadena
  3. 3.David Geffen School of Medicine at UCLALos Angeles

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