**5. Conclusion**

The Patient-specific cardiac reshaping net (PS-CRN) is a pathophysiological treatment for dilated cardiomyopathy, and its reverse remodeling effect was demonstrated intraoperatively because it is designed and fabricated for each heart failure patient. The procedure was safe and fast with no device-related adverse events. The first case was followed for up to 4 years postoperatively. Initial results were promising.
