What is ventricular reconstruction surgery?

In a ventricular reconstruction surgery, surgeons remove part of the aneurysm scar tissue to reshape the heart and restore it to its normal, conical shape. Typically, a small patch is sewn into place where the aneurysm once was. With the patch in place, surgeons sew tissue over the patch.

What is saver procedure?

SVR, also known as the Dor procedure, left ventricular reconstruction, and surgical anterior ventricular endocardial restoration (SAVER), is a procedure designed to restore or remodel the left ventricle to its normal, spherical shape and size in patients with akinetic segments of the heart, secondary to either dilated …

How is left ventricular aneurysm treated?

Surgical treatment (i.e., PCI or CABG) is a better option for patients with LVA, especially for patients with symptoms and a large aneurysm (≥3 cm), while drug intervention can be considered in those with asymptomatic aneurysms and small aneurysms (<3 cm) and stable heart dimensions.

Can you repair left ventricle?

Left ventricular reconstructive surgery (or aneurysm repair surgery) allows the surgeon to remove the scarred, dead area of heart tissue and/or the aneurysm and return the left ventricle to a more normal shape.

Can left ventricular hypertrophy be cured?

LVH can often be corrected by treating the underlying problem causing the heart to work too hard. Depending on the type of damage that has occurred, treatment measures may include medications and heart-healthy lifestyle changes to help reduce the pressure in the heart.

What is the most difficult heart surgery?

Open heart procedures, which represent a major portion of our volume, require cardiopulmonary bypass (heart-lung bypass machine) and are usually the most complicated and complex procedures.

Can the left ventricle be repaired?

Yes, left ventricular reconstructive surgery is major open-heart surgery, requiring the use of the heart-lung machine. Because you are already undergoing open heart surgery, your surgeon may also perform coronary artery bypass graft surgery (CABG) and/or valve repair surgery, if needed.

How common are ventricular aneurysms?

Ventricular aneurysm develops in approximately 10% of patients with MI and is particularly common when there is persistent occlusion of the infarct-related vessel. Heart failure, ventricular arrhythmias, mural thrombus and systemic embolism are all recognised complications of aneurysm formation.

What is the Dor procedure for heart surgery?

The Dor procedure is a medical technique used as part of heart surgery and originally introduced by the French cardiac surgeon Vincent Dor (b.1932). It is also known as endoventricular circular patch plasty (EVCPP). In 1985, Dor introduced EVCPP as a viable method for restoring a dilated left ventricle (LV) to its normal,…

What is door-to-balloon time in cardiac surgery?

Door-to-balloon time is a key performance quality metric in the treatment of heart attacks. The American Heart Association’s guidelines recommends that the artery be reopened within 90 minutes for best patient outcomes.

What are the disadvantages of the Dor procedure for heart valve replacement?

The disadvantage to the Dor procedure is that it places synthetic tissue inside the LV cavity. However, it is possible to replace the Dacron patch with autologous tissue. The surgeon can make a semicircular patch, mobilized with a septal hinge, out of the endocardial scar or use autologous patches of the pericardium.

How long does a Dor procedure take to perform?

Surgeons usually perform the Dor procedure following a coronary artery bypass graft (CABG). EVCPP consumes only approximately twenty minutes of the three- to four-hour procedure. To begin a basic remodeling, the surgeon makes an incision at the center of the depressed area on the LV wall and removes blood clots and endocardial scar tissue.