The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 4 , Pages 1012-1018 , April 2010

Ventricular restraint therapy for heart failure: The right ventricle is different from the left ventricle

Read at the Thirty-fifth Annual Meeting of The Western Thoracic Surgical Association, Banff, Alberta, Canada, June 24–27, 2009.

  • Lawrence S. Lee, MD

      Affiliations

    • Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass
    • ,
  • Ravi K. Ghanta, MD

      Affiliations

    • Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass
    • ,
  • Suyog A. Mokashi, MD

      Affiliations

    • Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass
    • ,
  • Otavio Coelho-Filho, MD

      Affiliations

    • Division of Cardiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass
    • ,
  • Raymond Y. Kwong, MD, MPH

      Affiliations

    • Division of Cardiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass
    • ,
  • R. Morton Bolman III, MD

      Affiliations

    • Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass
    • ,
  • Frederick Y. Chen, MD, PhD

      Affiliations

    • Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass
    • Corresponding Author InformationAddress for reprints: Frederick Y. Chen, MD, PhD, Division of Cardiac Surgery, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115.

Received 19 June 2009 ,Revised 13 August 2009 ,Accepted 2 September 2009.

References 

  1. Oh JH, Badhwar V, Mott BD, Li CM, Chiu RC. The effects of prosthetic cardiac binding and adynamic cardiomyoplasty in a model of dilated cardiomyopathy. J Thorac Cardiovasc Surg. 1998;116:148–153
  2. Konertz WF, Shapland JE, Hotz H, Dushe S, Braun JP, Stantke K, et al. Passive containment and reverse remodeling by a novel textile cardiac support device. Circulation. 2001;104(12 Suppl. 1):I270–I275
  3. Starling RC, Jessup M, Oh JK, Sabbah HN, Acerk MA, Mann DL, et al. Sustained benefits of the CorCap Cardiac Support Device on left ventricular remodeling: three year follow-up results from the Acorn clinical trial. Ann Thorac Surg. 2007;84:1236–1242
  4. Mann DL, Acker MA, Jessup M, Sabbah HN, Starling RC, Kubo SH. Clinical evaluation of the CorCap Cardiac Support Device in patients with dilated cardiomyopathy. Ann Thorac Surg. 2007;84:1226–1235
  5. Acker MA. Clinical results with the Acorn cardiac restraint device with and without mitral valve surgery. Semin Thorac Cardiovasc Surg. 2005;17:361–363
  6. Magovern JA. Experimental and clinical studies with the Paracor cardiac restraint device. Semin Thorac Cardiovasc Surg. 2005;17:364–368
  7. Acker MA, Bolling S, Shemin R, Kirklin J, Oh JK, Mann DL, et al. Mitral valve surgery in heart failure: insights from the Acorn Clinical Trial. J Thorac Cardiovasc Surg. 2006;132:568–577577.e1-4
  8. Oz MC, Konertz WF, Kleber FX, Mohr FW, Gummert JF, Ostermeyer J, et al. Global surgical experience with the Acorn cardiac support device. J Thorac Cardiovasc Surg. 2003;126:983–991
  9. Power JM, Raman J, Dornom A, Farish SJ, Burrell LM, Tonkin AM, et al. Passive ventricular constraint amends the course of heart failure: a study in an ovine model of dilated cardiomyopathy. Cardiovasc Res. 1999;44:549–555
  10. Pilla JJ, Blom AS, Brockman DJ, Ferrari VA, Yuan Q, Acker MA. Passive ventricular constraint to improve left ventricular function and mechanics in an ovine model of heart failure secondary to acute myocardial infarction. J Thorac Cardiovasc Surg. 2003;126:1467–1476
  11. Cheng A, Nguyen TC, Malinowski M, Langer F, Liang D, Daughters GT, et al. Passive ventricular constraint prevents transmural shear strain progression in left ventricle remodeling. Circulation. 2006;114(1 Suppl):I79–I86
  12. Saavedra WF, Tunin RS, Paolocci N, Mishima T, Suzuki G, Emala CW, et al. Reverse remodeling and enhanced adrenergic reserve from passive external support in experimental dilated heart failure. J Am Coll Cardiol. 2002;39:2069–2076
  13. Sabbah HN. The cardiac support device and the Myosplint: treating heart failure by targeting left ventricular size and shape. Ann Thorac Surg. 2003;75(6 Suppl):S13–S19
  14. Pina IL, Swain J. CorCap Food and Drug Administration Panel presentation in CdRH Panel meeting. Washington, DC: The Administration; 2005;Available at: http://www.fda.gov/ohrms/dockets/ac/06/.../2006-4269b1_09_sponsor.pdf
  15. Ghanta RK, Gogbashian A, Laurence R, Cohn LH, Chen FY. A new heart failure device: ventricular restraint decreases myocardial oxygen consumption indices. In: The Society of Thoracic Surgeons, editor. The Society of Thoracic Surgeons 42nd annual meeting. January 30–February 1, 2006, Chicago, Illinois. Chicago: The Society; 2006;
  16. Ghanta RK, Rangaraj A, Umakanthan R, Lee L, Laurence RG, Fox JA, et al. Adjustable, physiological ventricular restraint improves left ventricular mechanics and reduces dilatation in an ovine model of chronic heart failure. Circulation. 2007;115:1201–1210
  17. Gawne TJ, Gray KS, Goldstein RE. Estimating left ventricular offset volume using dual-frequency conductance catheters. J Appl Physiol. 1987;63:872–876
  18. Baan J, Jong TT, Kerkhof PL, Moene RJ, van Dijk AD, van der Velde ET, et al. Continuous stroke volume and cardiac output from intra-ventricular dimensions obtained with impedance catheter. Cardiovasc Res. 1981;15:328–334
  19. Steendijk P, Van der Velde ET, Baan J. Left ventricular stroke volume by single and dual excitation of conductance catheter in dogs. Am J Physiol. 1993;264(6 Pt 2):H2198–H2207
  20. Kono A, Maughan WL, Sunagawa K, Hamilton K, Sagawa K, Weisfeldt ML. The use of left ventricular end-ejection pressure and peak pressure in the estimation of the end-systolic pressure-volume relationship. Circulation. 1984;70:1057–1065
  21. Suga H. Ventricular energetics. Physiol Rev. 1990;70:247–277
  22. Moainie SL, Gorman JH, Guy TS, Bowen FW, Jackson BM, Plappert T, et al. An ovine model of postinfarction dilated cardiomyopathy. Ann Thorac Surg. 2002;74:753–760
  23. Oz M. Surgical implantation of the Acorn cardiac support device. Oper Tech Thorac Cardiovasc Surg. 2002;7(2):107–110
  24. Jauhiainen T, Jarvinen VM, Hekali PE, Poutanen VP, Penttila A, Kupari M. MR gradient echo volumetric analysis of human cardiac casts: focus on the right ventricle. J Comput Assist Tomogr. 1998;22:899–903
  25. Westenberg JJ, Lamb HJ, van der Geest RJ, Bleeker GB, Holman ER, Schalij MJ, et al. Assessment of left ventricular dyssynchrony in patients with conduction delay and idiopathic dilated cardiomyopathy: head-to-head comparison between tissue Doppler imaging and velocity-encoded magnetic resonance imaging. J Am Coll Cardiol. 2006;47:2042–2048
  26. Habbah HN. The cardiac support device and the Myosplint: treating heart failure by targeting left ventricular size and shape. Ann Thorac Surg. 2003;75(6 Suppl):S13–S19
  27. Kusuoka H, Hoffman JI. Advice on statistical analysis for. Circulation Research. Circ Res. 2002;91:662–671

 Disclosures: Supported by Brigham and Women's Hospital, Department of Surgery (F.Y.C.), Brigham and Women's Hospital, Cardiac Surgery Research Fund (R.M.B.), Harvard Medical School, Warren Whitman Fellowship (L.S.L.), and the National Institutes of Health grants T32HL076130 (L.S.L.), RO1HL090862 (F.Y.C.), and R01HL091157 (R.Y.K.). Ethicon, Inc, Somerville, NJ, provided the polypropylene mesh used in this study.

PII: S0022-5223(09)01558-X

doi: 10.1016/j.jtcvs.2009.09.064

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 4 , Pages 1012-1018 , April 2010

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