Left ventricular reconstruction concomitant to coronary artery bypass grafting: When and how?

Current Opinion in Cardiology

Volumn 26, Issue 6, 2011, Pages 523-527

  Menicanti, Lorenzo ^a   Castelvecchio, Serenella ^a  

^a IRCCS POLICLINICO SAN DONATO   (Italy)

Author keywords

left ventricular function; left ventricular remodeling; myocardial infarction; surgical ventricular reconstruction

Indexed keywords

CORONARY ARTERY BYPASS GRAFT; HEART LEFT VENTRICLE EJECTION FRACTION; HEART LEFT VENTRICLE FAILURE; HEART MUSCLE REVASCULARIZATION; HEART VENTRICLE FUNCTION; HEART VENTRICLE REMODELING; HEART VENTRICLE VOLUME; HUMAN; ISCHEMIC HEART DISEASE; LEFT VENTRICLE RECONSTRUCTION; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; PATIENT SELECTION; PHYSIOLOGY; PRIORITY JOURNAL; REVIEW; SCAR;

CORONARY ARTERY BYPASS; HEART VENTRICLES; HUMANS; HYPERTROPHY, LEFT VENTRICULAR; MYOCARDIAL INFARCTION; RECONSTRUCTIVE SURGICAL PROCEDURES; TIME FACTORS; VENTRICULAR DYSFUNCTION, LEFT; VENTRICULAR REMODELING;

EID: 80054694375     PISSN: 02684705     EISSN: 15317080     Source Type: Journal    
DOI: 10.1097/HCO.0b013e32834ba1cc     Document Type: Review

References (26)

1. Cooley DA, Collins HA, Morris GC, et al. Ventricular aneurysm after myocardial infarction: surgical excision with the use of temporary cardiopulmonary bypass. JAMA 1958;167:557-560.
2. Athanasuleas CL, Buckberg GD, Stanley AW, et al., RESTORE Group. Surgical ventricular restoration in the treatment of congestive heart failure due to postinfarction ventricular dilation. J Am Coll Cardiol 2004;44:1439-1445. (Pubitemid 39303946)
3. Menicanti L, Castelvecchio S, Ranucci M, et al. Surgical therapy for ischemic heart failure: single-center experience with surgical anterior ventricular restoration. J Thorac Cardiovasc Surg 2007;134:433-441.
4. Jones RH, Velazquez EJ, Michler RE, et al., STICH Hypothesis 2 Investigators. Coronary bypass surgery with or without surgical ventricular reconstruction. N Engl J Med 2009;360:1705-1717. The Surgical Treatment for Ischemic Heart Failure (STICH) trial is the first and the largest randomized trial designed to test the hypothesis that LVR combined with CABG improves survival free of subsequent hospitalization for a cardiac cause compared with CABG alone in patients with left ventricle dysfunction. The trial randomized 1000 patients to CABG or CABG + LVR. After a median follow-up of 4 years, the trial demonstrated that there was no overall benefit from adding LVR to CABG.
5. Konstam MA, Kramer DG, Patel AR, et al. Left ventricular remodeling in heart failure: current concepts in clinical significance and assessment. JACC Cardiovasc Imaging 2011;4:98-108.
6. Braunwald E. Biomarkers in heart failure. N Engl J Med 2008;358:2148-2159.
7. Di Donato M, Sabatier M, Toso A, et al. Regional myocardial performance of nonischaemic zones remote from anterior wall left ventricular aneurysm: effects of aneurysmectomy. Eur Heart J 1995;16:1285-1292.
8. Jatene AD. Left ventricular aneurysmectomy: resection or reconstruction. J Thorac Cardiovasc Surg 1985;89:321-331. (Pubitemid 16241826)
9. Dor V, Saab M, Coste P, et al. Left ventricular aneurysm: a new surgical approach. J Thorac Cardiovasc Surg 1989;37:11-19. (Pubitemid 19060426)
10. Di Donato M, Sabatier M, Dor V, et al. Akinetic versus dyskinetic postinfarction scar: relation to surgical outcome in patients undergoing endoventricular circular patch plasty repair. J Am Coll Cardiol 1997;29:1569-1575. (Pubitemid 27272452)
11. Castelvecchio S, Menicanti L, Di Donato M. Surgical ventricular restoration to reverse left ventricular remodeling. Curr Cardiol Rev 2010;6:15-23.
12. Gheorghiade M, Sopko G, De Luca L, et al. Navigating the crossroads of coronary artery disease and heart failure. Circulation 2006;114:1202-1213. (Pubitemid 44386485)
13. Eagle KA, Guyton RA, Davidoff R, et al. ACC/AHA 2004 guideline update for coronary artery bypass graft surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for Coronary Artery Bypass Graft Surgery). Circulation 2004;110:e340-e437.
14. Yusuf S, Zucker D, Peduzzi P, et al. Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet 1994;344:563-570. (Pubitemid 24267213)
15. Bax JJ, Schinkel AF, Boersma E, et al. Extensive left ventricular remodeling does not allow viable myocardium to improve in left ventricular ejection fraction after revascularization and is associated with worse long-term prognosis. Circulation 2004;110: II18-II22. (Pubitemid 39263692)
16. Allman KC, Shaw LJ, Hachamovitch R, Udelson JE. Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. J Am Coll Cardiol 2002;39:1151-1158. (Pubitemid 34267418)
17. Bourque JM, Hasselblad V, Velazquez EJ, et al. Revascularization in patients with coronary artery disease, left ventricular dysfunction, and viability: a metaanalysis. Am Heart J 2003;146:621-627. (Pubitemid 37281705)
18. Kramer DG, Trikalinos TA, Kent DM, et al. Quantitative evaluation of drug or device effects on ventricular remodeling as predictors of therapeutic effects on mortality in patients with heart failure and reduced ejection fraction: ametaanalytic approach. J Am Coll Cardiol 2010;56:392-406.
19. Di Donato M, Castelvecchio S, Menicanti L. End-systolic volume following surgical ventricular reconstruction impacts survival in patients with ischaemic dilated cardiomyopathy. Eur J Heart Fail 2010;12:375-381. This study, coming from a high-volume centre with a high level of surgical expertise with LVR, confirmed the role of LVESV in predicting survival and highlighted the impact of a proper reduction in LVESV on the outcome.
20. Castelvecchio S, Menicanti L, Ranucci M, Di Donato M. Impact of surgical ventricular restoration on diastolic function: implications of shape and residual ventricular size. Ann Thorac Surg 2008;86:1849-1854. This study reported postoperative diastolic function changes in patients undergoing LVR and, most importantly, identified potential predictors of its worsening, which, in turn, could help to optimize the patient selection.
21. Di Donato M, Menicanti L, Ranucci M, et al. Effects of surgical ventricular reconstruction on diastolic function at midterm follow-up. J Thorac Cardiovasc Surg 2010;140:285-291.
22. Buckberg GD, Athanasuleas CL, Wechsler AS, et al. The STICH trial unravelled. Eur J Heart Fail 2010;12:1024-1027.
23. Velazquez EJ, Lee KL, Deja MA, et al., STICH Investigators. Coronary-artery bypass surgery in patients with left ventricular dysfunction. N Engl J Med 2011;364:1607-1616.
24. Bonow RO, Maurer G, Lee KL, et al., STICH Trial Investigators. Myocardial viability and survival in ischemic left ventricular dysfunction. N Engl J Med 2011;364:1617-1625.
25. Karamitsos TD, Francis JM, Myerson S, et al. The role of cardiovascular magnetic resonance imaging in heart failure. J Am Coll Cardiol 2009;54:1407-1424.
26. Wijns W, Kolh P, Danchin N, et al. Guidelines on myocardial revascularization: the Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 2010;31:2501-2555. In this key article, a joint European Task Force on myocardial revascularization recognized the merit of LVR as surgical option combined with CABG in selected heart failure patients, reporting, for the first time, clear indications at the best of the available knowledge.