Research article
A new surgical ventricular restoration technique to reset residual myocardium's fiber orientation: the "KISS" procedure
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Correspondence: Marco Cirillo mkyr@libero.it
Cardiovascular Department, Heart Surgery Unit, Poliambulanza Foundation Hospital, Brescia, Italy
Annals of Surgical Innovation and Research 2009, 3:6 doi:10.1186/1750-1164-3-6
Published: 23 June 2009Additional files
Exemplary Patient: preoperative left ventriculography. Preoperative left ventriculography of the exemplary patient with large dyskinesia: normal geometry and torsion movement are completely lost.
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Exemplary Patient: renewal of left ventricular torsion at the end of operation. Head view of the heart at the end of reconstruction surgery of the same exemplary patient, normal and slow motion of the same sequence. Cardiopulmonary bypass is off. Ventilation is temporarily off. The counterclockwise torsion movement towards the right ventricle is evident, marked by the displacement of the saphenous graft on left anterior descending artery.
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Exemplary Patient: late full volume echocardiography. Simultaneous display of nine short axis views generated from an apical full volume acquisition with 4D mode (Vivid 7, GE Medical Systems, Norway) of the exemplary patient 19 months after the operation. Apical rotation is evident towards the right ventricle.
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