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Architecture of the left ventricle: insights for optimal surgical ventricular restoration
Heart Failure Reviews, 09/22/09

Adhyapak SM et al. – The geometry of the endoventricular patch thus holds the key to optimal ventricular shape in these patients. The technique to optimally restore a diseased ventricle to normal continues to evolve. This requires insights into the normal architecture and function, and the pathophysiologic effects of disease.

Exclusive Author Commentary
Srilakshmi M. Adhyapak, 09/23/09

Optimal cardiac function follows normal cardiac form. This has been detailed with the normal architecture as a basis for the unique ventricular filling and ejection. Several disease states cause altered ventricular form and function leading to heart failure. Surgical therapies of ventricular restoration in those patients with left ventricular aneurysms should evolve towards acheivement of optimal ellipsoid ventricular shape. This physiological ventricular shape can be achieved by linear endoventricular patch plasty. Hence, in patients with ventricular aneurysms, a rectangular linear patch which is not preformed holds the key to optimal ventricular shape and function.

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