Research article summary (published 30 Jul 2009):

Surgical treatments for advanced heart failure.

Full Abstract

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.

Author information

Author/s: Daneshmand, Mani A (MA); Milano, Carmelo A (CA);

Affiliation: Department of General and Thoracic Surgery, Duke University Medical Center, DUMC 3043, Durham, NC 27710, USA.

Journal and publication information

Publication Type: Journal Article; Review

Journal: The Surgical clinics of North America (Surg Clin North Am), published in United States. (Language: eng)

Reference: 2009-Aug; vol 89 (issue 4) : pp 967-99, x

Dates: Created 2009/09/28; Completed 2009/10/29;

PMID: 19782847, status: MEDLINE (last retrieval date: 10/29/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Heart Failure - surgery Heart Transplantation - adverse effects Heart Ventricles - surgery Heart-Assist Devices - adverse effects Humans

Immunosuppression - methods Patient Selection Postoperative Complications - etiology; therapy Prosthesis Design Randomized Controlled Trials as Topic

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