Abstract
Heart failure remains a leading cause of cardiovascular morbidity and mortality following myocardial infarction. Progressive cardiac remodeling results in altered shape and geometry of left ventricle with increased LV end diastolic volume and LV dilatation, reduced ejection fraction and heart failure. Medical therapy is the mainstay of management. Surgical ventricular restoration to reverse cardiac remodelling has been attempted with varying results. Percutaneous ventricular restoration using ventricular partition device is emerging as a new strategy for the treatment of ischemic heart failure. Research studies and recent meta-analysis have shown a success rate of 90% in device deployment. Procedural complications occurred in 6.6% patients. Device implantation resulted in improvement of Quality of Life, NYHA class and six minutes walking distance. Left ventricular end diastolic volume and left ventricular end systolic volume decreased by about 20% on 1–3 year follow up. Mortality and recurrent hospitalization for heart failure showed reduction after device implantation.
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