Surgical ventricular remodeling (SVR) is an invasive method of treating patients with
heart failure who also have ischemic cardiomyopathy and reduced ejection fraction
(EF). Introduced in the mid-1980s, this technique was met with varying success and
relatively high morbidity and mortality despite its theoretical benefits. The development
of the BioVentrix Revivent TC System (BioVentrix, Inc., San Ramon, CA) as a less-invasive
method of surgical ventricular remodeling has created a novel, multidisciplinary approach
to heart failure management, which necessitates multiple subspecialties. Currently
in the trial phase in the United States and widely used in Europe, the positive results
to date appear promising for the rapid adoption of this procedure. For the cardiac
anesthesiologist, a thorough understanding of the patient population, procedural goals,
and intraoperative management is essential. This overview discusses the advancement
in surgical ventricular remodeling, the pertinent surgical steps of the BioVentrix
Revivent TC System placement, and specific anesthetic considerations for this novel
procedure.
Key Words
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Published online: February 05, 2021
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