Radio-guided surgery for ventricular remodeling in patients with ischemic dilated cardiomyopathy: A new tool to discriminate in vivo viable myocardium.

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Presentation transcript:

Radio-guided surgery for ventricular remodeling in patients with ischemic dilated cardiomyopathy: A new tool to discriminate in vivo viable myocardium and scar  Marco Spadafora, MD, Fiore Manganelli, MD, Luigi Mansi, MD, Paolo Ferrara, MD, Paolo Miletto, MD, Giuseppe Rosato, MD, Pierluigi Costanzo, MD, Alberto Cuocolo, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 138, Issue 1, Pages 241-243 (July 2009) DOI: 10.1016/j.jtcvs.2008.06.017 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Radio-guided surgery during left ventricular remodeling. In vivo analysis of tracer distribution for the differentiation between viable tissue and scar tissue was performed on the epicardial (A and B) and endocardial (C) surfaces of the ventricular chamber. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 241-243DOI: (10.1016/j.jtcvs.2008.06.017) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Presurgical (A) and postsurgical (B) left ventricular volume in end-diastole (EDV) and end-systole (ESV) in patient 1. Restoration of ventricular size and shape resulted in an improvement in stroke volume (SV) and ejection fraction (EF). The Journal of Thoracic and Cardiovascular Surgery 2009 138, 241-243DOI: (10.1016/j.jtcvs.2008.06.017) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions