TITLE:
Endoventricular Spiral Plication for Ischemic Dilated Cardiomyopathy
AUTHORS:
Kayo Sugiyama, Yasuhiro Futamura, Hirotaka Watanuki, Masaho Okada, Genri Tagami, Katsuhiko Matsuyama
KEYWORDS:
Endoventricular Spiral Plication, Ischemic Cardiomyopathy, Surgical Ventricular Restoration, Ischemic Mitral Regurgitation
JOURNAL NAME:
Open Journal of Thoracic Surgery,
Vol.9 No.1,
March
28,
2019
ABSTRACT: Surgical ventricular restoration (SVR) procedures have been developed; however, their long-term effectiveness remains controversial. Although a series of endoventricular spiral plication (ESP) has been rarely reported and its long prognosis is still unknown; this method has a unique concept of left ventricular (LV) restoration
without artificial patch materials. Here, we describe the case of a patient with ischemic cardiomyopathy and ischemic mitral regurgitation who successfully underwent ESP, mitral valve repair, and coronary artery bypass grafting. ESP was effective in papillary muscle approximation for avoiding heart failure; however, the noted improvement of LV wall thickening might be temporary.