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Interventional Medicine and Applied Science
Authors: Tamás Ruttkay, László Bárány, András Grimm, Lajos Patonay, Örs Petneházy, Gergely Rácz, Gábor Baksa and Zoltán Galajda

the coronary vessels is technically challenging and requires special, device-related experiences; therefore, their superiority in coronary surgery is questionable [ 3 – 19 ]. The aim of our workgroup was to develop a novel, endoluminal vessel

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Interventional Medicine and Applied Science
Authors: Tamás Ruttkay, László Bárány, András Grimm, Lajos Patonay, Örs Petneházy, Gergely Rácz, Gábor Baksa and Zoltán Galajda

the coronary vessels is technically challenging and requires special, device-related experiences; therefore, their superiority in coronary surgery is questionable [ 3 – 19 ]. The aim of our workgroup was to develop a novel, endoluminal vessel

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Abstract

Background: Although circular ventricle resection techniques are the gold standard of left ventricle restoration, these techniques can lead to suboptimal results. Postoperative systolic resection line can be inadequate, as it must be planned on a heart stopped in diastole. The impaired geometry and contractility may lead to increased short- and long-term mortality. Moreover, postoperative low cardiac output due to insufficient left ventricular volume results in a potentially unstable condition, and cannot be corrected. Our aim was to find a preoperative method to minimize risk and maximize outcome with left ventricle restoration. Methods: We have created a novel method combining surgery with modern imaging techniques to construct a preoperative 3D systolic heart model. The model was utilized to determine resection could be intraoperatively used to create the new left ventricle. Results: The computer assisted ventricle engineering technique is described step by step through a successful aneurysmectomy of a 61-year-old female patient with a complicated giant left ventricle aneurysm. Conclusions: Using this model we are able to find the optimal resection line providing excellent postoperative result, thus minimizing the risk of low cardiac output syndrome. This is the first report of our new combined approach to left ventricle restoration.

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References 1 Jones DS. CABG at 50 (or 107?) – The complex course of therapeutic innovation. N Engl J Med. 2017; 376: 1809–1811. 2 Kovács G. The history of coronary

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Orvosi Hetilap
Authors: Erzsébet Feiler, Károly Gombocz, Győző Wrana, Margit Varró, Roland Csécs and Nasri Alotti

: Using the EuroSCORE to Assess Changes in the Risk Profiles of the Patients Undergoing Coronary Artery Bypass Grafting Before and After the Introduction of Less Invasive Coronary Surgery. Ann. Thorac. Surg., 2005, 80 , 131

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Orvosi Hetilap
Authors: Zoltán Galajda, Géza Jakó, Ronald von Jakó and Árpád Péterffy

535 544 Benett, F. J.: Direct coronary surgery with saphenous vein bypass without either cardiopulmonary bypass or cardiac arrest. J. Cardiovasc. Surg., 1985

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361 367 He, G.W., Yang, C.Q., Starr, A.: Overview of the nature of vasoconstriction in arterial grafts for coronary surgery. Ann. Thorac. Surg. 54 , 676-683 (1995

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coronary artery bypass surgery in stable angina pectoris. European Coronary Surgery Study Group. Lancet, 1982, 320 (8309), 1173–1180. Eleven-year survival in the Veterans Administration randomized trial of coronary bypass surgery

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1994 90 2645 2657 European Coronary Surgery Study Group: Long-term results of prospective randomised

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