Impact of Surgical Ventricular Restoration on Diastolic Function: Implications of Shape and Residual Ventricular Size  Serenella Castelvecchio, MD, Lorenzo.

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Impact of Surgical Ventricular Restoration on Diastolic Function: Implications of Shape and Residual Ventricular Size  Serenella Castelvecchio, MD, Lorenzo Menicanti, MD, Marco Ranucci, MD, Marisa Di Donato, MD  The Annals of Thoracic Surgery  Volume 86, Issue 6, Pages 1849-1854 (December 2008) DOI: 10.1016/j.athoracsur.2008.08.010 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Diastolic function worsening likelihood as a function of preoperative systolic index – CI (S). Preoperative EDVs in each quintile of distribution of sCI are indicated (right axis) as diamonds (mean values and standard deviation). There is no significant difference between quintiles of volumes. (CI = conicity index; EDV = end diastolic volume.) The Annals of Thoracic Surgery 2008 86, 1849-1854DOI: (10.1016/j.athoracsur.2008.08.010) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 On the left is reported an example of classical aneurism showing an apical axis bigger than the short axis (systolic conicity index = 1.15); on the right is reported an example of ischemic dilated cardiomyopathy showing an apical axis smaller than the short axis (systolic conicity index = 0.72). (EDV = end diastolic volume; EF = ejection fraction; ESV = end systolic volume.) The Annals of Thoracic Surgery 2008 86, 1849-1854DOI: (10.1016/j.athoracsur.2008.08.010) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Diastolic function worsening likelihood as a function of operative changes in end diastolic volume (EDV). Preoperative EDVs in each quintile of distribution of EDV difference are indicated (right axis) as diamonds (mean values and standard deviation). There is a significant difference between quintiles in volumes. The Annals of Thoracic Surgery 2008 86, 1849-1854DOI: (10.1016/j.athoracsur.2008.08.010) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions