Does LV restoration surgery help the patients with cardiac sarcoidosis or LV noncompaction?
In dilated cardiomyopathy (DCM) there are various causes. For example, when sarcoidosis affects heart (i.e., cardiac sarcoidosis), the heart often develops DCM. We repair the LV on case-by-case basis by considering the etiology and characteristics of the disease. (Dilated cardiomyopathy Case 5 and Case 6) LV noncompaction (LVNC) is a congenital disease and the patient with LVNC often develop DCM. In LVNC, the myocardium (heart muscle) does not grow compacted or integrated, and thus the LV wall has lots of spaces inside, causing thrombi and cerebral embolism or heart failure. We repair the LV successfully by considering the characteristics of the disease, and reported it in an American major journal. To our knowledge, it is the first report of LV repair (restoration) surgery for LVNC. We try to prevent both thrombi/embolism and heart failure. (DCM case 7) Q: What is the key to succeed in LV repair or restoration surgery for DCM? A: In short, we believe that LV should be down-sized by ex
