Surgical ventricular restoration

Abstract

Surgical left ventricular restoration has been introduced to reshape the dilated cardiac chamber and improve cardiac function for patients with severe congestive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy. The operations for ischemic cardiomyopathy (Dor, SAVER, etc) provide significant improvements of cardiac function and good short- and long-term survival. Ongoing prospective study (STICH trial) may make those more standard procedures. On the contrary, the operation for idiopathic dilated cardiomyopathy (Batista procedure) carries high risks of operative mortality and recurrence of congestive heart failure. Modifications of operative indications and surgical techniques are under investigation.