Video Case Report: Surgical Ventricular Restoration (Dor) for Ventricular Aneurism, VSD, and Impending Ventricular Rupture After Myocardial Infarction

Cardiac tamponadeis a medical emergency which requires a fast diagnosis and treatment. We report the successful management of 51-year-old women who presented with cardiac tamponade due to ventricular rupture. Once this condition was suspected and confirmed by echocardiography, an emergent pericardiotomy was made. This case highlights the importance of a prompt diagnosis and how this could change the prognosis.

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Surgical ventricular restoration of the dilated left ventricle with large left ventricular thrombus following acute decompensated heart failure: A late complication of anterior wall myocardial infarction: “Tomb of Dead Myocardium!”

Journal of Indian College of Cardiology ◽

10.4103/jicc.jicc_12_19 ◽

2019 ◽

Vol 9 (1) ◽

pp. 55

Author(s):

Pankaj Jariwala ◽

Sridhar Kale Satya

Keyword(s):

Myocardial Infarction ◽

Heart Failure ◽

Acute Decompensated Heart Failure ◽

Late Complication ◽

Decompensated Heart Failure ◽

Anterior Wall ◽

Left Ventricular ◽

Surgical Ventricular Restoration ◽

Ventricular Thrombus ◽

Ventricular Restoration

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Abstract 3254: Effectiveness of Surgical Ventricular Restoration in Patients With Different Shape Abnormalities following Myocardial Infarction

Circulation ◽

10.1161/circ.116.suppl_16.ii_732 ◽

2007 ◽

Vol 116 (suppl_16) ◽

Author(s):

Marisa Di Donato ◽

Serenella Castelvecchio ◽

Claudio Bussadori ◽

Francesca Giacomazzi ◽

Matteo Quarenghi ◽

...

Keyword(s):

Myocardial Infarction ◽

Dilated Cardiomyopathy ◽

Abrupt Change ◽

Surgical Ventricular Restoration ◽

True Aneurysm ◽

Type 3 ◽

Curvature Type ◽

Ventricular Restoration

Myocardial infarction leaves a spectrum of LV shape abnormalities. Surgical Ventricular Restoration(SVR) can be applied to any but there are no data that relates its effectiveness to pre-op LV shape. Aim. To assess cardiac function and survival following SVR in patients with different post-MI shape abnormalities. Methods. Ninety-eight patients (69 ± 9yrs) submitted to SVR for heart failure and/or angina. LV shape was classified by Echo 2CH: Type 1 ( true aneurysm): LV shape is geometrically delimited by two “borders” identified by an abrupt change in curvature; Type 2 ( Intermediate ): shape is delimited by one “border” most often at the inferior region; Type 3 ( dilated cardiomyopathy ): LV shape is without borders ( i.e. the curvature is flattened along the overall LV perimeter). Results. Average FUP was 23 ± 13 months. Table 1 and Graph show that all types benefit from SVR and survival is not significantly different. Conclusions. This study relates the effectiveness of SVR to shape abnormalities and demonstrate that results are good not only in the true aneurysm but also in dilated cardiomyopathy (type 2 and 3).

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