[Left ventricular reconstruction in ischemic heart disease. Good surgical alternative in advanced heart failure]

Abstract

Left ventricular (LV) dilatation occurs after myocardial infarction and leads to heart failure. LV reconstruction or surgical ventricular restoration (SVR) by means of the Dor procedure reduces LV volume and restores normal LV shape. Mitral repair and surgery for ventricular tachycardia are performed as needed. SVR improves LV function and early and long-term results are good in terms of survival and arrhythmia control. International results as well as the experience of the procedure at Karolinska University Hospital are presented and illustrated with a case report.