Late ventricular structure after partial left ventriculectomy

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Late ventricular structure after partial left ventriculectomy Paul P Lunkenheimer, MD, Klaus Redmann, Colin W Cryer, PhD, Damian Sánchez-Quintana, MD, Siew Yen Ho, PhD, Robert H Anderson, MD, Randas V Batista, MD The Annals of Thoracic Surgery Volume 69, Issue 4, Pages 1257-1259 (April 2000) DOI: 10.1016/S0003-4975(99)01452-6

Fig 1 (Left) The surgical scar on the sternocostal surface of the left ventricle is shown from the left anterior side. The superficial contractile pathways are peeled off. The originally circular pathways are displaced, ascending here from the lateral apex to the septal base. Note the marked widening of the scar into the basal inferior lip of the wound. (Right) Alignment of the contractile pathways in three layers of the normal (upper) and the volume reduced left ventricle (lower); the scar is encircled. The Annals of Thoracic Surgery 2000 69, 1257-1259DOI: (10.1016/S0003-4975(99)01452-6)

Fig 2 The oyster-shaped excision from the free wall of the left ventricle (left) before adaptation of the two lips of the wound and (right) after the surgical suture is adapted. The basal and apical edges are indicated which delineate the two lips. Note the ascending and converging alignment of the contractile pathways in the inferior lip of the wound. The Annals of Thoracic Surgery 2000 69, 1257-1259DOI: (10.1016/S0003-4975(99)01452-6)