Surgical treatments for advanced heart failure.

Journal Article (Journal Article;Review)

Patients with heart failure represent a significantly ill cohort, and the survival of the most advanced heart failure patients is dismal with medical management alone. This cohort of advanced heart-failure patients benefits from several surgical treatments. Although several techniques for surgical ventricular restoration in the setting of left ventricular aneurysms have been described, the broader application of these techniques to patients with ischemic cardiomyopathy has occurred during the last decade. This review focuses on left ventricular aneurysm (LVA) repair and surgical ventricular restoration, ventricular assist devices, and cardiac allograft transplantation for the treatment of advanced heart failure. Indications for these procedures are addressed, as well as intraoperative technical features and postoperative management strategies.

Full Text

Duke Authors

Cited Authors

  • Daneshmand, MA; Milano, CA

Published Date

  • August 2009

Published In

Volume / Issue

  • 89 / 4

Start / End Page

  • 967 - x

PubMed ID

  • 19782847

Electronic International Standard Serial Number (EISSN)

  • 1558-3171

Digital Object Identifier (DOI)

  • 10.1016/j.suc.2009.06.007


  • eng

Conference Location

  • United States