Left Ventricular Reconstruction as an Alternative to Heart Transplantation: A Case Report
DOI:
https://doi.org/10.1532/HSF98.2006-1027Abstract
A 57-year-old man with dilated cardiomyopathy was referred to our institution to be assessed for heart transplantation. He had symptoms of severe heart failure and left ventricular dysfunction. We proposed surgical ventricular restoration (the Dor procedure) as an alternative to heart transplantation. The patient underwent successful surgery and an uneventful postoperative course. Pre- and postoperative investigations are presented. One year after surgery, the patient is in good clinical and functional condition. This case illustrates that surgical ventricular restoration can be an alternative to heart transplantation.References
Athanasuleas CL, Buckberg GD, Stanley AWH, et al. 2004. Surgical ventricular restoration in the treatment of congestive heart failure due to post-infarction ventricular dilation. J Am Coll Cardiol 44:1439-45.nDor V, Sabatier M, Montiglio F, et al. 1994. Results of nonguided subtotal endocardiectomy associated with left ventricular reconstruction in patients with ischemic ventricular arrhythmias. J Thorac Cardiovasc Surg 107:1301-7.nFerrazzi P, Matteucci ML, Merlo M, et al. 2006. Surgical ventricular reverse remodeling in severe ischemic dilated cardiomyopathy: the relevance of the left ventricular equator as a prognostic factor. J Thorac Cardiovasc Surg 131:357-63.nMenicanti L, Di Donato M. 2002. The Dor procedure: what has changed after fifteen years of clinical practice? J Thorac Cardiovasc Surg 124:886-90.nSartipy U, Albåge A, Lindblom D. 2005. The Dor procedure for left ventricular reconstruction. Ten-year clinical experience. Eur J Cardiothorac Surg 27:1005-10.nSartipy U, Albåge A, Strååt E, et al. 2006. Surgery for ventricular tachycardia in patients undergoing left ventricular reconstruction by the Dor procedure. Ann Thorac Surg 81:65-71.nSchenk S, McCarthy PM, Starling RC, et al. 2004. Neurohormonal response to left ventricular reconstruction surgery in ischemic cardiomyopathy. J Thorac Cardiovasc Surg 128:38-43.nWhite HD, Norris RM, Brown MA, et al. 1987. Left ventricular end-systolic volume as the major determinant of survival after recovery from myocardial infarction. Circulation 76:44-51.nYamaguchi A, Adachi H, Kawahito K, et al. 2005. Left ventricular reconstruction benefits patients with dilated ischemic cardiomyopathy. Ann Thorac Surg 79:456-61.n
