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E-book
Author Parachuri, V. Rao.

Title Ventricular geometry in post-myocardial infarction aneurysms : implications for surgical ventricular restoration / V. Rao Parachuri, Srilakshmi M. Adhyapak
Published London : Springer, 2012
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Description 1 online resource : illustrations (some color)
Contents Anatomy of the Myocardium in the Normal Left Ventricle -- Normal Left Ventricular Dynamics: Contraction and Relaxation Patterns -- Altered Left Ventricular Geometry in Ischemic Cardiomyopathy -- Altered Ventricular Function in Ischemic Cardiomyopathy -- Hemodynamics in Ischemic Cardiomyopathy: Left Ventricular Aneurysm Formation -- Evolution of Techniques of Surgical Ventricular Restoration: From Linear Repair to Endoventricular Linear Patch Plasty -- The Surgical Technique of Linear Endoventricular Patch Plasty -- Surgical Ventricular Restoration by the Technique of Endoventricular Linear Patch Plasty: Long-Term Clinical Results -- The Impact of Surgical Technique on Cardiac Hemodynamics Following Surgical Ventricular Restoration -- Recent Controversies: To STICH or Not to STICH? -- Role of Electrophysiological Testing, Intracardiac Defibrillator Implantation, and Concomitant Surgical Procedures in Patients with Left Ventricular Aneurysms Presenting with Ventricular Tachycardia -- Role of Mitral Valve Surgery in Surgical Ventricular Restoration for Left Ventricular Aneurysms
Summary Following a transmural myocardial infarctions (MI), the resultant dilated, aneurismal ventricle can make patient management difficult in those ineligible for cardiac transplantation. This mechanical complication leads to refractory heart failure and continues to be a persisting problem for clinical management in both the developed and developing countries of the world. It continues to exist despite improvements in door to needle time for primary coronary interventions. There has been increased interest in potential surgical techniques involved in the palliation of ventricular pathology post-MI. The process of cardiac remodeling has been studied extensively, and recent surgical techniques for ventricular restoration have proven late adverse remodeling. Surgical techniques for ventricular restoration of these adversely remodeled ventricles aimed at restoring a near normal ventricular geometry consequently have a continuing role in the management of this difficult subset of patients. Ventricular Geometry in Post-Myocardial Infarction Aneurysms: Implications for Surgical Ventricular Restoration provides cardiac surgeons and cardiologists a definitive perspective of optimal surgical ventricular restoration in patients with advanced heart failure due to large ventricular aneurysms following transmural myocardial infarctions. The authors review normal and abnormal cardiac anatomy following post myocardial infarction and physiology, with focus on the evolution of surgical techniques aimed at establishing an ellipsoid ventricular shape, resulting in near-normal physiological hemodynamics evident at long term
Notes Print version record
Subject Coronary heart disease -- Surgery.
Heart -- Left ventricle -- Pathophysiology.
Heart -- Left ventricle -- Surgery.
Ventricular aneurysms.
Heart Aneurysm.
Heart Ventricles -- physiopathology.
Heart Ventricles -- surgery.
Ventricular Remodeling.
Form Electronic book
Author Adhyapak, Srilakshmi M.
ISBN 9781447128618 (electronic bk.)
1447128613 (electronic bk.)