http://www.ctsnet.org CTSNet Reader Comments en-us Copyright 2009 CTSNet support@ctsnet.org http://www.ctsnet.org/graphics/logos/organizations/ctsnet_logo_wht195.gif http://www.ctsnet.org 114 30 Dr. A.Calafiore, I read your elegant study. The technique of SVR has evolved from mere volume reduction to re shaping the adversely remodeled ventricle. It is understood that the Dor's technique only creates a smaller spherical ventricle with sub optimal hemodynamics. The ellipsoid shape of the LV is a pre requisite for optimal function and clinical outcome. At our centre, we have performed nearly 250 SVR surgeries using a linear endoventricular patch which also results in a near physiological ellipsoid ventricle. The emphasis should shift from mere volume reduction, towards preservation of the physiological ventricular shape. Your study marks a definitive turn in the right direction. -Dr. Srilakshmi.M.Adhyapak

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