Document Detail

Elective bridging to recovery after repair: the surgical approach to ventricular reverse remodeling.
MedLine Citation:
PMID:  18684205     Owner:  NLM     Status:  MEDLINE    
We described our "surgical approach to reverse ventricular remodeling" in advanced chronic heart failure, based on the unique idea that "downstaging" class IV heart failure by supporting patients with left ventricular assist devices (LVADs) allows treatments mainly indicated for class III patients. The types of surgeries include mitral valve repair, surgical ventricular remodeling, coronary artery bypass grafting, and cardiac resynchronization. This approach has been applied to two patients with class IV chronic heart failure due to idiopathic dilated cardiomyopathy who were supported with the magnetically levitated Levacor LVAD. These were the first in-human implantations of this device. Sustained short- to medium-term recovery has been achieved in both patients.
Antonis A Pitsis; Aikaterini N Visouli; Vlasis Ninios; Georgios Bougioukas; Gerasimos Filippatos; Dimitrios Kremastinos; Daniel Burkhoff; James W Long
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Publication Detail:
Type:  Journal Article     Date:  2008-07-30
Journal Detail:
Title:  Artificial organs     Volume:  32     ISSN:  1525-1594     ISO Abbreviation:  Artif Organs     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-10-06     Completed Date:  2008-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  730-5     Citation Subset:  IM    
St. Luke's Hospital, Thessaloniki, Greece.
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MeSH Terms
Cardiac Surgical Procedures / methods
Heart Failure / physiopathology,  surgery*
Heart-Assist Devices
Mitral Valve Insufficiency / physiopathology,  surgery
Treatment Outcome
Ventricular Dysfunction, Left / physiopathology,  surgery
Ventricular Remodeling*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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