Abstract
Left ventricular surgical remodeling (LVSR) has been, for long time, the
procedure applied for large dyskinetic, or akinetic, areas as a
consequence of a myocardial infarction, manly located in the left
anterior descending area. Many surgical techniques were developed, aimed
to a pure reduction of the volume of the left ventricular cavity or to
add to volume reduction a more physiologic conical shape. The expansion
of interventional procedures invaded most of the fields before treated
only by cardiac surgeons. In this issue, Pillay describes an hybrid
technique, involving both interventional cardiologists and cardiac
surgeons, aimed to LV volume reduction after an anterior myocardial
infarction. A series of internal (right ventricular septum) and external
(anterior wall) anchors are implanted to approximate the LV free wall to
the anterior septum, consequently excluding the scarred myocardium.
Although some limitations of this study, the Authors have to be
commended for having revitalized a procedure almost eliminated from the
surgical scenario