VENTRICULAR REMODELING IN CORONARY-ARTERY DISEASE

Analyzing 16 recent (1993 to 1997) references devoted to left ventricu lar aneurysm or wall motion abnormality after myocardial infarct, it a ppears that 1) cardiologists are on their way to detecting earlier the bad evolution of left ventricular geometry after myocardial infarct, 2) a great number of cardiac surgeons are using the technique of left ventricular reconstruction with circular reorganization of the left ve ntricular cavity, very often by endoventricular patch; and 3) this adv ance leads to a modification in the indications for surgery for left v entricular aneurysms or akinesia, either to prevent progressive dilata tion, or to improve some apparently hopeless old and large akinesias.