Category Archives: Cardiac Remodeling

The Dor procedure is a medical technique used as part of heart surgery and originally introduced by the French cardiac surgeon Vincent Dor (b.1932).[1] It is also known as endoventricular circular patch plasty (EVCPP). In 1985, Dor introduced EVCPP as a viable method for restoring a dilated left ventricle (LV) to its normal, elliptical geometry. The Dor procedure uses a circular suture and a Dacron patch to correct LV aneurysms and exclude scarred parts of the septum and ventricular wall and would prove to be the best option amongst the other methods of ventricular remodeling, i.e. Cooleys linear suturing and Jatenes circular external suturing.[citation needed] EVCPP is a relatively easy procedure that covers all aspects of successful heart restorationrestores ventricular shape, increases ejection fraction, decreases the left ventricular end systolic volume index (LVESVI), and allows for complete coronary revascularization. The myocardium consists of a single, vascular, continuous tissue that wraps around itself, spiraling up from the apex of the heart, to form a helix with elliptically shaped ventricles.[2] This spiral produces an oblique muscle fiber orientation, meaning that the fibers form a more ventricle x shape, so that when fibers shorten 15%, it produces a 60% ejection fraction. Because of … Continue reading →

A carefully obtained history is the cornerstone for evaluating a patient with known or suspected cardiac disease.2 A deliberate, compassionate interview forms the basis for a patientphysician relationship that can continue indefinitely. Unfortunately, the interview can result in adversarial roles for physician and patient if the interviewer appears hurried, shows impatience, fails to establish eye contact, seems to treat dreaded diseases casually, or appears to be unsympathetic. When the medical interview is unsatisfactory because of poor communication and lack of rapport, inaccurate information and often unnecessary testing will be obtained. Also, important facts not revealed during a meticulous initial history are usually not detected later because both the patient and physician become focused on high-technology studies and more aggressive therapeutic interventions. The patients chief complaint, which requires further elaboration and investigation, may not identify his or her most serious problem. Therefore, symptoms other than the patients chief complaint must be defined. The interviewer should note all existing symptoms and establish a present illness for each of these. A medical questionnaire given to the patient well in advance of the interview is useful and can record important data more accurately because of the time thus made available to reflect and check … Continue reading →

Kuyumcu G, Salazar GM, Prabhakar AM, Ganguli S. Minimally invasive treatments for perforator vein insufficiency. Cardiovasc Diagn Ther. 2016 Dec;6(6):593-598. doi: 10.21037/cdt.2016.11.12. Review. PubMed PMID: 28123979; PubMed Central PMCID: PMC5220201. Baliyan V, Tajmir S, Hedgire SS, Ganguli S, Prabhakar AM. Lower extremity venous reflux. Cardiovasc Diagn Ther. 2016 Dec;6(6):533-543. doi: 10.21037/cdt.2016.11.14. Review. PubMed PMID: 28123974; PubMed Central PMCID: PMC5220199. Zucker EJ, Ganguli S, Ghoshhajra BB, Gupta R, Prabhakar AM. Imaging of venous compression syndromes. Cardiovasc Diagn Ther. 2016 Dec;6(6):519-532. doi: 10.21037/cdt.2016.11.19. Review. PubMed PMID: 28123973; PubMed Central PMCID: PMC5220205. Oliveira IS, Hedgire SS, Li W, Ganguli S, Prabhakar AM. Blood pool contrast agents for venous magnetic resonance imaging. Cardiovasc Diagn Ther. 2016 Dec;6(6):508-518. doi: 10.21037/cdt.2016.12.05. Review. PubMed PMID: 28123972; PubMed Central PMCID: PMC5220192. Karande GY, Hedgire SS, Sanchez Y, Baliyan V, Mishra V, Ganguli S, Prabhakar Ther. 2016 Dec;6(6):493-507. doi: 10.21037/cdt.2016.12.06. Review. PubMed PMID: 28123971; PubMed Central PMCID: PMC5220209. Vaduganathan M, Patel NK, Lubitz SA, Neilan TG, Dudzinski DM. A "Malignant" Arrhythmia: Cardiac Metastasis and Ventricular Tachycardia. Tex Heart Inst J. 2016 Dec 1;43(6):558-559. doi: 10.14503/THIJ-15-5189. PubMed PMID: 28100983; PubMed Central PMCID: PMC5179170. Sonis JD, Snchez Y, Benjamin Harvey H, Yun BJ, Raja AS, Prabhakar AM. Communication of imaging recommendations … Continue reading →