Restoring an elliptical chamber during rebuilding a wrap around anterior infarction

Left ventricular geometry is distorted after anterior infarction caused by occlusion of a wrap around left anterior descending artery. Loss of the apex creates a spherical left ventricular (LV) chamber, whose rebuilding requires reconstruction techniques that exclude the non-functional inferior watt. The described technique of tailoring the apex defines a way to create an oblique elliptical rim for subsequent patch placement to complete the restoration procedure. This method of ventricular rebuilding differs from methods that follow the inferior watt scar, which result in a restoration procedure that leaves a spherical or box-like apical region. (c) 2005 Elsevier B.V. All rights reserved.