Efficacy of surgical ventricular restoration based on the evaluation of the myocardial viability with delayed-enhanced magnetic resonance imaging

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Assessment of myocardial viability is important when applying surgical ventricular restoration (SVR) for ischemic cardiomyopathy. Delayed-enhanced magnetic resonanceimaging (DE-MRI) can detect necrotic areas with high spatial resolution. We assessedwhether our surgical strategy incorporating DE-MRI is effective. As a result, DE-MRI canclearly delineate scar areas within the whole ventricle and therefore can play animportant role in determining whether and which areas should be excluded by SVR. Thisstrategy based on the DE-MRI assessments can assist in providing excellent clinical outcomes in ischemic cardiomyopathy.