Total Surgical Plication of Left Ventricular Aneurysm Using the BioVentrix Revivent Myocardial Anchoring System.

Publisher: SAGE Publications Country of Publication: United States NLM ID: 101257528 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1559-0879 (Electronic) Linking ISSN: 15569845 NLM ISO Abbreviation: Innovations (Phila) Subsets: MEDLINE

Publication: 2019- : [Thousand Oaks, CA] : SAGE Publications
Original Publication: Philadelphia, PA : Lippincott Williams & Wilkins

Cardiac Surgical Procedures/*methods ; Heart Aneurysm/*surgery ; Heart Ventricles/*surgery ; Ventricular Dysfunction, Left/*surgery; Cardiac Surgical Procedures/instrumentation ; Heart Aneurysm/diagnostic imaging ; Heart Aneurysm/etiology ; Heart Ventricles/diagnostic imaging ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; ST Elevation Myocardial Infarction/complications ; Ventricular Dysfunction, Left/diagnostic imaging ; Ventricular Dysfunction, Left/etiology ; Ventricular Remodeling

Surgical ventricular reconstruction (SVR) is the therapy of choice for patients with left ventricular dilatation, apical and anterolateral transmural scar, and low ejection fraction. STICH trial did not show that SVR led to improved survival but several observational studies did. However, because of the considerable operative risk, open heart surgery is considered risky in debilitated patients and clinical results are controversial. Alternative less invasive strategies for left ventricular aneurysm repair have been proposed. We present a case of a left ventricular aneurysm repair using the less invasive ventricular enhancement technique (LIVE) with the Revivent TC system (BioVentrix Inc., San Ramon, CA) in a totally surgical approach, instead of a hybrid interventional-surgical one, as previously described.

Keywords: coronary artery disease; left ventricular aneurysm; surgical ventriculoplasty

Date Created: 20190628 Date Completed: 20200206 Latest Revision: 20200206

20231215

10.1177/1556984519858919

31244359