Skip to main content

Ventricular Containment, Shape Change, Infarct Restraint

  • Chapter
  • First Online:
Management of Heart Failure

Abstract

This chapter describes the concepts, historical perspective, and evidence behind the shaping of the ventricle to prevent heart failure progression. The techniques described range from ventricular containment, infarct restraint, and stabilization in so that to modify the ventricle to reduce wall stress, including updated studies since the prior edition.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Frank O (1895) translated by Chapman CB, Wasserman E (1959). On the dynamics of cardiac muscle. Am Heart J. 1959;58:282–317.

    Google Scholar 

  2. Patterson SW, Starling EH. On the mechanical factors which determine the output of the ventricles. J Physiol. 1914;48:357–79.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  3. Guccione JM, McCullouch AD. Passive material properties of intact ventricular myocardium determined from a cylinder model. ASME J Biomech Eng. 1991;113:42–55.

    Article  CAS  Google Scholar 

  4. Freeman GL, LeWinter MM. Pericardial adaptations during chronic cardiac dilation in dogs. Circ Res. 1984;54:294–300.

    Article  CAS  PubMed  Google Scholar 

  5. Power JM, Raman J, Dornom A, Farish SJ, Burrell, Tonkin AM, Buxton B, Alferness A. Passive ventricular constraint amends the course of heart failure: a study in an ovine model of dilated cardiomyopathy. Cardiovasc Res. 1999;44:549–55.

    Article  CAS  PubMed  Google Scholar 

  6. Raman JS, Byrne MJ, Power JM, Alferness CA. Ventricular constraint in severe heart failure halts decline in cardiovascular function associated with experimental dilated cardiomyopathy. Ann Thorac Surg. 2003;76(1):141–7.

    Article  PubMed  Google Scholar 

  7. Oz MC, Konertz WF, Kleber FX, Mohr FW, et al. Global surgical experience with the Acorn cardiac support device. J Thorac Cardiovasc Surg. 2003;126(4):983–91.

    Google Scholar 

  8. Sabbah HN, Sharov VG, Gupta RC, Mishra S, et al. Reversal of chronic molecular and cellular abnormalities due to heart failure by passive ventricular containment. Circ Res. 2003;93(11):1095–101.

    Article  CAS  PubMed  Google Scholar 

  9. Mann DL, Kubo SH, et al. Beneficial effects of the CorCap cardiac support device: five-year results from the Acorn trial. J Thorac Cardiovasc Surg. 2012;143(5):1036–42.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Power JM, Raman J, Alferness CA, Burrell LM, et al. Passive Ventricular Constraint in the treatment of Experimental Dilated Cardiomyopathy in Sheep. Cardiovascular Research. 1999;44:549–555.

    Google Scholar 

  11. Raman J, Power JM, Buxton BF, Alferness CA, et al. Ventricular Containment as an Adjunctive Procedure in Ischemic Cardiomyopathy: Early Results. Ann Thor Surg. 2000;70:1124–6.

    Google Scholar 

  12. Ghanta RK, et al. Adjustable, physiological ventricular restraint improves left ventricular mechanics and reduces dilatation in an ovine model of chronic heart failure. Circulation. 2007;115:1201–10.

    Google Scholar 

  13. Koomalsing KK, Witschey WRT, McGArvey JR, Shuto T, et al. Optimized Local Infarct Restraint Improves Left Ventricular Function and Limits Remodeling. Annals of Thoracic Surgery. 2013;95(1):155–162. doi: http://dx.doi.org/10.1016/j.athoracsur.2012.08.056

    Google Scholar 

  14. Jarnek J, Webb JG, Kuck KH, Tschope C, et al. Transcatheter implantation of the MONARC coronary sinus device for mitral regurgitation: 1-year results from the EVOLUTION phase I study (Clinical Evaluation of the Edwards Lifesciences Percutaneous Mitral Annuloplasty System for the Treatment of Mitral Regurgitation). JACC Cardiovasc Interv. 2011;4(1):115–22.

    Google Scholar 

  15. Mishra YK, Mittal S, Jaguri P, Trehan N. Coapsys mitral annuloplasty for chronic functional ischemic mitral regurgitation: 1-year results. Ann Thorac Surg. 2006;81(1):42–6.

    Article  PubMed  Google Scholar 

  16. Grossi EA, Patel N, Woo YJ, Goldberg JD, Schwartz CF, Subramanian V, Feldman T, Bourge R, Baumgartner N, Genco C, Goldman S, Zenati M, Wolfe JA, Mishra YK, Trehan N, Mittal S, Shang S, Mortier TJ, Schweich Jr CJ, RESTOR-MV Study Group. Outcomes of the RESTOR-MV trial (randomized evaluation of a surgical treatment for off-pump repair of the mitral valve). J Am Coll Cardiol. 2010;56(24):1984–93.

    Article  PubMed  Google Scholar 

  17. Maisano F, et al. The edge-to-edge technique: a simplified method to correct mitral insufficiency. Eur J Cardiothorac Surg. 1998;13(3):240–6.

    Article  CAS  PubMed  Google Scholar 

  18. Raman J, Jagannathan R, Chandrashekar P, Sugeng L. Can we repair the mitral valve from outside the heart? A novel extra-cardiac approach to functional mitral regurgitation. Heart Lung Circ. 2011;20:157–62.

    Article  PubMed  Google Scholar 

  19. Siminiak T, Wu J, et al. Treatment of functional mitral regurgitation by percutaneous annuloplasty: results of the TITAN Trial. Eur J Heart Fail. 2012;14(8):931–8.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Lago R, Cubeddu R, et al. Percutaneous techniques for the treatment of patients with functional mitral valve regurgitation. Interv Cardiol Clin. 2012;1(1):85–99.

    Google Scholar 

  21. Kashen A, Santamaria WP, Hassan S, Crabb DL, Margulies KB, Melvin DB. Cardioclasp – A new passive device to reshape cardiac function. ASAIO Journal, May/June 2002;48(3):253–9.

    Google Scholar 

  22. Ginat D, Massey HR, Bhatt S, Dopna VS. Imaging of Mechanical Cardiac Assist Devices – A pictorial essay. J Clinical Imaging Science 2011;1:21.

    Google Scholar 

  23. De la Torre Hernandez, Diaz DFernandez JF, Tenas S, Ruigomez G. Update on Interventional Cardiology Devices. Esp Cardiol 2013;66(4):282–9.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to George C. Christensen III DO .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag London Ltd.

About this chapter

Cite this chapter

Christensen, G.C., Raman, J., Kilic, A., Whitson, B.A. (2016). Ventricular Containment, Shape Change, Infarct Restraint. In: Raman, J. (eds) Management of Heart Failure. Springer, London. https://doi.org/10.1007/978-1-4471-4279-9_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4279-9_8

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4278-2

  • Online ISBN: 978-1-4471-4279-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics