A heart failure specialist's perspective on cardiac surgery for heart failure.
Aside from cardiac transplantation, ventricular assist devices, and the total artificial heart, cardiac surgery now also plays a major role in the overall management of the heart failure patient. For patients with heart failure, cardiac surgery has steadily moved from being a predominant rescue procedure (eg, aneursymectomy, rupture repair, transplantation) to surgical interventions that can prevent or delay the progression of cardiac dysfunction and failure; these operations now include coronary artery bypass surgery, ventricular restoration, and valvular repair/replacement. This article discusses the role and impact of these specific surgical interventions in the setting of ventricular dysfunction and heart failure.
Leier
Carl V
CV
Division of Cardiology, Davis Heart-Lung Research Institute, The Ohio State University, 473 West 12th Avenue, Columbus, OH 43210, USA. leier-1@medctr.osu.edu
D001022:Aortic Valve Insufficiency / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000628:therapy; D006333:Heart Failure / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008943:Mitral Valve / Q000601:surgery; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000601:surgery; D018487:Ventricular Dysfunction, Left / Q000628:therapy