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Ventricular Geometry in Post-Myocardial Infarction Aneurysms

Implications for Surgical Ventricular Restoration

  • Book
  • © 2012

Overview

Authors:
  1. V. Rao Parachuri

    1. , Department of Cardiothoracic Surgery, Narayana Hrudayalaya, Bangalore, India

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  2. Srilakshmi M. Adhyapak

    1. , Department of Cardiothoracic Surgery, Narayana Hrudayalaya, Bangalore, India

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    You can also search for this author in PubMed   Google Scholar

  • Clinical validation of a mathematical hypothesis, by the technique of EVLPP

  • Clinical validation of a mathematical hypothesis, by the technique of EVLPP Clinical validation of a mathematical hypothesis for the existence of an extension of the Frank Starling mechanism in the failing heart

  • Extensive video files of the surgical technique

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Table of contents (12 chapters)

  1. Front Matter

    Pages i-xvi
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  2. Anatomy of the Myocardium in the Normal Left Ventricle

    • V Rao Parachuri, Srilakshmi M. Adhyapak
    Pages 1-9

  3. Normal Left Ventricular Dynamics: Contraction and Relaxation Patterns

    • V Rao Parachuri, Srilakshmi M. Adhyapak
    Pages 11-19

  4. Altered Left Ventricular Geometry in Ischemic Cardiomyopathy

    • V Rao Parachuri, Srilakshmi M. Adhyapak
    Pages 21-30

  5. Altered Ventricular Function in Ischemic Cardiomyopathy

    • V Rao Parachuri, Srilakshmi M. Adhyapak
    Pages 31-36

  6. Hemodynamics in Ischemic Cardiomyopathy: Left Ventricular Aneurysm Formation

    • V Rao Parachuri, Srilakshmi M. Adhyapak
    Pages 37-45

  7. Evolution of Techniques of Surgical Ventricular Restoration: From Linear Repair to Endoventricular Linear Patch Plasty

    • V Rao Parachuri, Srilakshmi M. Adhyapak
    Pages 47-72

  8. The Surgical Technique of Linear Endoventricular Patch Plasty

    • V Rao Parachuri, Chiran Babu, Vineet Mahajan, Srilakshmi M. Adhyapak
    Pages 73-83

  9. Surgical Ventricular Restoration by the Technique of Endoventricular Linear Patch Plasty: Long-Term Clinical Results

    • V Rao Parachuri, Srilakshmi M. Adhyapak
    Pages 85-94

  10. The Impact of Surgical Technique on Cardiac Hemodynamics Following Surgical Ventricular Restoration

    • V Rao Parachuri, Srilakshmi M. Adhyapak
    Pages 95-111

  11. Recent Controversies: To STICH or Not to STICH?

    • V Rao Parachuri, Srilakshmi M. Adhyapak
    Pages 113-117

  12. Role of Electrophysiological Testing, Intracardiac Defibrillator Implantation, and Concomitant Surgical Procedures in Patients with Left Ventricular Aneurysms Presenting with Ventricular Tachycardia

    • V Rao Parachuri, Srilakshmi M. Adhyapak, A. G. Ravi Kishore
    Pages 119-130

  13. Role of Mitral Valve Surgery in Surgical Ventricular Restoration for Left Ventricular Aneurysms

    • V Rao Parachuri, Srilakshmi M. Adhyapak
    Pages 131-144

  14. Back Matter

    Pages 145-152
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Keywords

About this book

The topic of heart failure although extensively researched and reported, has several gray areas. This is especially seen in determining strategies for combating advanced heart failure. The global burden of ischemic heart disease is increasing at an alarming rate to almost pandemic proportions. Even in the presence of state-of the art technology for prompt and successful coronary reperfusion, the population progressing to ischemic cardiomyopathy is substantial. The treatment strategies for ischemic cardiomyopathy do not always ensure optimal clinical results, the reasons for which are varied. The proper patient selection is vital as is the tailoring of suitable therapy. The approach is thus multi-pronged, of which surgical ventricular restoration (SVR) has a definite role. Despite various randomized studies like the STICH-hypothesis 2, where there was a huge selection bias, with patients subjected to an erroneous technique of SVR, with inadequate ventricular remodelling assessment. The present need is to understand the unique anatomy of the left ventricle, its function and perturbations with the onset of heart failure, in order to plan therapeutic strategies to restore near normal anatomy and function. A study of the hemodynamics in ischemic cardiomyopathy is essential, as it differs in certain aspects from other causes of heart failure like idiopathic dilated cardiomyopathy and valvular heart diseases. Since information on these aspects are scattered in various scholarly articles, a concise source in the form of a book would be appropriate and useful for both cardiologists and cardiac surgeons. This project represents a concise review of normal and abnormal cardiac anatomy and physiology, the evolution of SVR to EVLPP with validation of near normal ventricular restoration, plus act as a reference guide for cardiac surgeons with interest in SVR.

Authors and Affiliations

  • , Department of Cardiothoracic Surgery, Narayana Hrudayalaya, Bangalore, India

    V. Rao Parachuri, Srilakshmi M. Adhyapak

About the authors

V. Rao Parachuri FRCS (CTh)  has trained at Hammersmith and Harefield Hospitals, UK and worked as fellow at St. Vincent Hospital, Worcester, Massachusetts, USA. His field of interest is in the surgical management of heart failure with special interest in surgical ventricular restoration. He has developed the linear endoventricular patch plasty procedure which is a modification of the endoventricular patch plasty techniques described by others. He has performed over 800 surgical ventricular restoration procedures. His other interests include mitral and aortic valve repairs and surgical pulmonary vein isolation for atrial fibrillation. He is Senior Consultant Cardiac Surgeon at Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, India.

Srilakshmi M. Adhyapak DNB is a fellow in Cardiology from Narayana Hrudayalaya Institute of Medical Sciences, and is presently Assistant Professor of Cardiology at St. John’s Medical College Hospital, Bangalore, India. Her interests are in the pathophysiology of heart failure.

Bibliographic Information

  • Book Title: Ventricular Geometry in Post-Myocardial Infarction Aneurysms

  • Book Subtitle: Implications for Surgical Ventricular Restoration

  • Authors: V. Rao Parachuri, Srilakshmi M. Adhyapak

  • DOI: https://doi.org/10.1007/978-1-4471-2861-8

  • Publisher: Springer London

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer-Verlag London 2012

  • Hardcover ISBN: 978-1-4471-2860-1Published: 07 June 2012

  • Softcover ISBN: 978-1-4471-6974-1Published: 30 April 2017

  • eBook ISBN: 978-1-4471-2861-8Published: 05 June 2012

  • Edition Number: 1

  • Number of Pages: XVI, 152

  • Number of Illustrations: 40 b/w illustrations, 37 illustrations in colour

  • Topics: Cardiac Surgery, Cardiology, Medicine/Public Health, general

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