Left Ventricular Aneurysm Ventricular Restoration Coronary Artery Disease

Author: Nahush Mokadam, MD; Edward Verrier, MD
Institution: University of Washington
Date Reviewed: March 2014
Learning Domain: Adult Cardiac Surgery
Learning Objective: Left Ventricular Aneurysm; Ventricular Restoration; Coronary Artery Disease
PowerPoint File: Left Ventricular Aneurysm Ventricular Restoration Coronary Artery Disease

Discussion Points for Conference

• Complications of Acute Myocardial infarction
• Goals  for surgery
• Ventricular Restoration vs LV Aneurysm
• SAVER: Surgical Anterior Ventricular Restoration vs STITCH trial
• Dor procedure: technical considerations
  • Fontan  Stitch / Endoluminal patch
  • Revascularization strategies
• Sequencing of surgery
• Expected outcomes
• Follow up planning

Learning Points

• Ventricular restoration is not the same as LV aneurysm resection
• Controversy remains as to the efficacy of SVR
• RESTORE vs STITCH
• Adequate resection is essential to change conformation of heart from ovoid to ellipsoid
• Concomitant Coronary Artery Bypass common