2019 Volume 25 Issue 2 Pages 34-38
Patients with a dilated left ventricle (LV) represent a high-risk group for developing heart failure after myocardial infarction. The procedure of surgical ventricular reconstruction (SVR) was developed to reduce ventricular volume through scar exclusion. Although the results of the Surgical Treatment for Ischemic Heart Failure (STICH) have cast doubt on the clinical benefits of SVR concomitant with revascularization, subanalysis of the STICH results showed that appropriately selected patients could benefit from SVR.(br)In this review, we examined the report of SVR and investigated which patients could be most eligible for SVR to improve their prognosis concomitant with revascularization. We performed this examination from the point of view of optimum volume, shape, and viability, mainly examining the STICH subanalysis; along with this, we examined the future direction of SVR.
