The impact of @entity353 on early and long-term outcomes in surgical ventricular restoration for severe XXXX .

@entity1 @entity712 @entity204 @entity353
BACKGROUND: Recent published results suggest no additive benefit to surgical ventricular restoration (SVR) when combined with coronary artery bypass grafting. However, there may still be a subgroup of @entity1 with severe @entity712 who can benefit from this procedure. We reviewed our institutional experience with SVR to determine early and late outcomes based on @entity353 . METHODS: We retrospectively reviewed our SVR @entity1 (January 2002 to April 2008) with follow-up to March 2009. Baseline comorbidities, operative data, and postoperative outcomes were assessed by chart review, phone calls, and mailings. Survival was modeled using the Kaplan-Meier method. Cardiac magnetic resonance imaging, myocardial perfusion scans, and echocardiography assessed cardiac function, candidacy for SVR, and @entity353 . RESULTS: We reviewed 87 consecutive SVR @entity1 (69 @entity1 ). Mean age at operation was 61.1 years. Preoperatively, all @entity1 had @entity712 , with 80 (92%) at New York Heart Association III/IV. All @entity1 underwent preoperative viability studies. Three-vessel occlusion exceeding 50% was present in 69 (79%). After SVR, ejection fraction improved from 0.236 to 0.332 (p<0.001). Preoperative and postoperative magnetic resonance imaging in 26 @entity1 (30.0%) showed a 30.8% reduction in left ventricular end systolic volume index. At follow-up, 51 of 66 (77%) improved to New York Heart Association I/II. One intraoperative @entity204 occurred. Preoperative left ventricular end systolic volume index of 80 to 120 was associated with improved survival (73% at 3 years). CONCLUSIONS: SVR is a surgical option for appropriately selected @entity1 with severe @entity712 . In these high-risk @entity1 , SVR successfully increased ejection fraction and decreased symptoms. A left ventricular end systolic volume index of 80 to 120 may be the ideal range for SVR procedures.
