RESUMO
Conventional treatment of left main coronary artery (LMCA) disease includes coronary artery bypass graft (CABG) and more recently, in selective indications, percutaneous coronary intervention (PCI). Direct surgical patch angioplasty of the LMCA using fresh autologous pericardium, saphenous vein, or mammary artery patch can be proposed as an alternative treatment. We have successfully operated one patient with surgical angioplasty for isolated ostial left main coronary stenosis at National Heart Journal.
RESUMO
Surgical ventricular restoration (SVR) is a surgical procedure developed in an attempt to reverse the negative remodeling that occurs following myocardial infarction. SVR has evolved from a treatment for ventricular aneurysms and has become a treatment of ischemic heart failure.SVR procedure is usually performed after coronary artery bypass grafting (CABG) and may proceed or be followed by mitral valve repair or replacement. This article will review the procedure.