Article

Heart Failure Reviews

, Volume 11, Issue 2, pp 171-192

First online:

Surgical aspects of congestive heart failure

  • Daniel J. GoldsteinAffiliated withHeart Transplantation and Mechanical Circulatory Support Programs, Associate Professor, Department of Cardiothoracic Surgery, Montefiore Medical Center/Albert Einstein College of Medicine
  • , Douglas SmegoAffiliated withDepartment of Cardiothoracic Surgery, Montefiore Medical Center/Albert Einstein College of Medicine
  • , Robert E. MichlerAffiliated withDepartment of Cardiothoracic Surgery, Co-Director, Montefiore-Einstein Heart Center, Montefiore Medical Center/Albert Einstein College of Medicine Email author 

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Abstract

Despite tremendous advances in the medical management of congestive heart failure the gold standard for the treatment of end stage congestive heart failure remains cardiac transplantation. The acknowledged critical limitation of sufficient suitable organ donors has resulted in the refinement and development of novel surgical alternatives for the treatment of congestive heart failure. These approaches include the extension of current conventional cardiac operations such as mitral valve repair to the failing ventricle, surgically reconstructing the size and shape of the failing left ventricle in order to optimize geometry and render it a more efficient pump, and partial or complete replacement of the ventricle with a mechanical device. The continued evolution of such therapies is likely to one day have a significant epidemiologic impact on patients suffering from end stage heart failure.

Keywords

Congestive heart failure Surgical ventricular reconstruction (SVR) Mechanical devices LVADS Heart transplantation Passive and active restraint devices Mitral valve repair Aortic valve surgery Coronary artery bypass surgery High risk heart surgery