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Surgical ventricular restoration in the treatment of congestive heart failure due to post-infarction ventricular dilation

Constantine L. Athanasuleas, MD^*, Gerald D. Buckberg, MD^,*, Alfred W.H. Stanley, MD^*, William Siler, PhD^*, Vincent Dor, MD, Marisa Di Donato, MD, Lorenzo Menicanti, MD^||, Sergio Almeida de Oliveira, MD^¶, Friedhelm Beyersdorf, MD^#, Irving L. Kron, MD^**, Hisayoshi Suma, MD, Nicholas T. Kouchoukos, MD, Wistar Moore, MD, Patrick M. McCarthy, MD^||||, Mehmet C. Oz, MD^¶¶, Francis Fontan, MD^##, Meredith L. Scott, MD, Kevin A. Accola, MD RESTORE Group

^* Norwood Clinic and Kemp Carraway Heart Institute, Birmingham, Alabama
UCLA Medical Center, Los Angeles, California
Centre Cardio-thoracique de Monaco, Monte Carlo, Monaco
University of Florence, Florence, Italy
^|| Ospedale Clinicizzato San Donato, Milan, Italy
^¶ University of Sao Paulo, Sao Paulo, Brazil
^# Albert-Ludwigs-Universitat Freiburg, Freiburg, Germany
^** University of Virginia, Charlottesville, Virginia
Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan
Missouri Baptist Hospital, St. Louis, Missouri
Orlando Heart Surgery Group, Orlando, Florida
^|||| The Cleveland Clinic Foundation, Cleveland, Ohio
^¶¶ Columbia University, New York, New York
^## St. Augustine Hospital, Bordeaux, France

View larger version (42K): [in a new window]   Figure 1 (A) Incision into the scar of the dilated ventricle. (B) Placement of a suture to exclude the scarred segment. (C) Completed repair with endocardial patch. LV = left ventricle.

View larger version (8K): [in a new window]   Figure 2 Overall five-year survival.

View larger version (12K): [in a new window]   Figure 3 Survival based upon chamber morphology: dyskinesia versus akinesia.

View larger version (11K): [in a new window]   Figure 4 Survival based upon preoperative ejection fraction.

View larger version (13K): [in a new window]   Figure 5 Survival based upon preoperative left ventricular end-systolic volume index.

View larger version (13K): [in a new window]   Figure 6 Survival based upon preoperative New York Heart Association functional class.