Adjuvant Pericardial Sac Restraining in Heart Failure Treatment. A Medical Hypothesis Illustrated by a Case Report
Rev. bras. cir. cardiovasc
;
31(1): 66-69, Jan.-Feb. 2016. tab, graf
Article
in English
| LILACS
| ID: lil-778364
ABSTRACT
Abstract Ventricular constraint therapy has been used to prevent and reverse the progression of heart failure in ischemic and nonischemic cardiomyopathies. We hypothesized that ventricular restraint should be tried by closing the pericardium that was previously opened following left ventricle topographical projection. The surgical technique presentation is illustrated by a remarkable 13-year outcome of one patient with dilated cardiomyopathy treated surgically by mitral prosthesis, Cox/Maze III surgery to treat atrial fibrillation, and associated to the ventricular constraint using the patient's own pericardium. The ventricular pericardial restraint role is unclear, since the patient had multiple corrections that could be responsible for the good outcome; however it is viable deserving investigations.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pericardium
/
Heart Failure
/
Heart Ventricles
Limits:
Humans
/
Male
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2016
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
University of São Paulo (FMRP-USP)/BR
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