Schenk Soren, Reichenspurner Hermann
Department of Biomedical Engineering, Lerner Research Institute, The Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Heart Surg Forum. 2003;6(4):237-43.
Device-based left ventricular reshaping to facilitate reverse remodeling in cases of congestive heart failure represents an innovative surgical strategy. Originating from experiences gained with partial left ventriculectomy and dynamic cardiomyoplasty, the Myocor Myosplint device and the Acorn CorCap Cardiac Support Device are intended to improve left ventricle function through left ventricular shape change by means of wall stress reduction and passive diastolic support, respectively. Encouraging experimental and early clinical results with both devices support these novel concepts. Careful patient selection and a combined approach integrating adjunct surgical and medical treatments are crucial factors for the success of ventricular reshaping.
基于装置的左心室重塑以促进充血性心力衰竭病例的逆向重构是一种创新的手术策略。源于部分左心室切除术和动态心肌成形术的经验，Myocor Myosplint装置和Acorn CorCap心脏支持装置分别旨在通过降低壁应力和被动舒张支持来改变左心室形状，从而改善左心室功能。这两种装置令人鼓舞的实验和早期临床结果支持了这些新概念。仔细的患者选择以及整合辅助手术和药物治疗的综合方法是心室重塑成功的关键因素。
