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 @entity1 with postinfarction coronary artery disease: effectiveness on spontaneous and inducible XXXX .

@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']
@entity1165 :: (MESH:D017180,Disease) :: ['ventricular tachycardia']
