Guided or nonguided endocardectomy during surgical ventricular reconstruction?

摘要

In a recent article in the Journal, Babokin and colleagues presented results after surgical ventricular reconstruction (SVR) together with endo-cardectomy along radiofrequency ablation-induced markings. The objective was to evaluate the efficacy of a new approach for endocardectomy during SVR in patients with post-infarction left anteroseptal ventricular aneurysms. The extent of the endocardectomy was guided by preoperative electroanatomic mapping and markings produced by radiofrequency ablations. The design was a retrospective single-center study, and 168 patients were included and categorized in 2 groups: 74 patients who underwent SVR including endocardectomy and 94 patients who underwent SVR. Whether or not endocardectomy should have been added to SVR was decided by the surgeon. All patients also underwent coronary artery bypass grafting.