Left Ventricular Volume Reduction Surgery for Idiopathic Dilated Cardiomyopathy
In the United States alone, 4.8 million people suffer from congestive heart failure (CHF). Approximately 550,000 new cases of CHF are diagnosed each year (1). As the population ages, the magnitude of this problem is projected to increase (2). After diagnosis, despite improvements in medical management, 5-year mortality is 60% for men and 45% for women (1). There are 150,000 people in the end stage of this disease, and there is a 5-year mortality that approaches 100% despite the use of angiotensin II-converting enzyme inhibitors (3). Approximately half of these patients have heart failure from idiopathic, infectious, or valvular etiologies unrelated to coronary artery disease (4).
KeywordsEurope Adenosine Angiotensin Cardiomyopathy Enalapril
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- 7.Likoff W, Bailey CP. Ventriculoplasty: excision of myocardial aneurysm. JAMA 1958;915–928.Google Scholar
- 8.Cooley DA, Collins HA, Morris GC, et al. Ventricular aneurysm after myocardial infarction: surgical excision with the use of cardiopulmonary bypass. JAMA 1958;167:557.Google Scholar
- 9.Dor V, Kreitmann P, Jourdan J, et al. Interest of physiological closure (circumferential plasty on contractile areas) of left ventricle after resection and endo-cardectomy for aneurysm of akinetic zone comparison with classical technique about a series of 209 left ventricular resections. J Cardiovasc Surg 1985;26:73.Google Scholar
- 22.Hoercher KJ, Starling RC, McCarthy PM, Blackstone EH, Young JB. Partial left ventriculectomy: lessons learned and future implications for surgical trials. Circulation 2002;106:II–418.Google Scholar
- 25.Saavedra FW, Tunn R, Mishima T, et al. Reverse remodeling and enhanced adrenergic reserve from a passive external ventricular support in experimental dilated heart failure. Circulation 2000;102(suppl II):II–501.Google Scholar
- 27.Power J, Raman J, Byrne M. Passive ventricular constraint is a trigger for a significant degree of reverse remodeling in an experimental model of degenerative heart failure and dilated cardiomyopathy. Circulation 2000;102(suppl II):II–502.Google Scholar
- 28.Sabbah HN, Gupta RC, Sharov VG, et al. Prevention of progressive left ventricular dilation with the Acorn cardiac support device (CSD) down regulates stretch-mediated P21ras, attenuates myocardial hypertrophy, and improves sarcoplasmic reticulum calcium cycling in dogs with heart failure. Circulation 2000;102(suppl II):II–683.Google Scholar
- 31.Raman JS, Hata M, Storere JM, et al. The mid-term results of ventricular containment (Acorn Wrap) for end stage ischemic cardiomyopathy. Ann Thorac Cardiovasc Surg 2001;5:278–281.Google Scholar