Surgical ventricular reconstruction (SVR) involves resection of scar, septal exclusion, @entity6675 reduction by endoventricular patch, and complete coronary grafting. At the Cardiothoracic Centre of Monaco, ventricular stimulation (PVS) is performed before SVR, unless contraindicated. In @entity1 with spontaneous and/or inducible @entity943 , nonguided endocardiectomy and cryosurgery are added. We report clinical and hemodynamic results after SVR in postinfarction @entity1 , to compare management of @entity1 with spontaneous and/or inducible @entity1165 , with those without @entity943 . The 3 subsets were: Group A, 87 @entity1 with clinical documented @entity943 and inducible or not inducible @entity1165 (Spontaneous); Group B, 105 @entity1 without clinical @entity943 but with inducible @entity1165 at PVS (Inducible); and Group C, 190 @entity1 without spontaneous @entity943 and not inducible @entity1165 at PVS (No @entity943 ). Overall surgical mortality rate was 7.6% (29 of 382). @entity944 mortality was only 18.7% of all @entity204 . Surgical management caused marked reduction of inducible @entity1165 , from 144 of 352 inducible @entity1165 before surgery (41%), to 26 of 307 (8%) at early study, and 14 of 177 (8%) one year later. Cardiac mortality was low at 5 years, and not different among groups; this indicates that the surgical procedure limits the @entity943 that normally impair prognosis in postinfarction dilated @entity296 . We believe the favorable electrical success rate and low mortality are not linked to one aspect of the surgical procedure, but to an integrated approach that relieves @entity63 (coronary bypass graft), and reduces left ventricular volumes (SVR) to improve pump function, and nonguided endocardiectomy plus cryoablation, to interrupt functional reentry circuits.

Surgical ventricular restoration in XXXX with postinfarction coronary artery disease: effectiveness on spontaneous and inducible @entity1165 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity296 :: ('MESH:D009202', 'Disease') :: ['cardiomyopathy'] @entity1165 :: ('MESH:D017180', 'Disease') :: ['ventricular tachycardia'] @entity944 :: ('MESH:D003645', 'Disease') :: ['Sudden death'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemia'] @entity6675 :: ('MESH:D020139', 'Disease') :: ['cavity'] @entity943 :: ('MESH:D001145', 'Disease') :: ['ventricular arrhythmias', 'arrhythmias'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths']
@entity1 :: (9606,Species) :: ['patients']
