Ventricular remodeling in coronary artery disease

Abstract

Analyzing 16 recent (1993 to 1997) references devoted to left ventricular aneurysm or wall motion abnormality after myocardial infarct, it appears that 1) cardiologists are on their way to detecting earlier the bad evolution of left ventricular geometry after myocardial infarct, 2) a great number of cardiac surgeons are using the technique of left ventricular reconstruction with circular reorganization of the left ventricular cavity, very often by endoventricular patch; and 3) this advance leads to a modification in the indications for surgery for left ventricular aneurysms or akinesia, either to prevent progressive dilatation, or to improve some apparently hopeless old and large akinesias.