Document Detail

Surgical alternatives for heart failure.
MedLine Citation:
PMID:  11448798     Owner:  NLM     Status:  MEDLINE    
Heart failure is one of the leading causes of hospitalization in the United States. Congestive heart failure is a chronic, progressive disease and its central element is remodeling of the cardiac chamber associated with ventricular dilation. Secondary mitral regurgitation is a complication of end-stage cardiomyopathy and is associated with poor prognosis. Historically, these patients were not considered operative candidates because of their high morbidity and mortality. Heart transplantation is now considered standard treatment for select patients with end-stage heart disease; however, it is applicable only to a small number of patients. In an effort to address this problem, newer and alternative surgical approaches are evolving, including mitral valve annuloplasty, the Batista procedure, and other left ventricular shape changing technologies. Using these operative techniques to alter the shape of the left ventricle, in combination with optimal medical management for heart failure, improves survival, and patients may avoid or postpone transplantation.
S F Bolling; I A Smolens; F D Pagani
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation     Volume:  20     ISSN:  1053-2498     ISO Abbreviation:  J. Heart Lung Transplant.     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-07-12     Completed Date:  2001-09-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9102703     Medline TA:  J Heart Lung Transplant     Country:  United States    
Other Details:
Languages:  eng     Pagination:  729-33     Citation Subset:  IM    
Section of Cardiac Surgery, Taubman Health Care Center, University of Michigan, Ann Arbor, Michigan 48109-0348, USA.
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MeSH Terms
Cardiac Surgical Procedures / adverse effects,  methods
Cardiomyopathies / complications,  mortality,  surgery
Heart Aneurysm / surgery
Heart Failure / mortality,  surgery*
Heart Transplantation
Mitral Valve / surgery
Mitral Valve Insufficiency / etiology,  mortality,  surgery
Myocardial Revascularization
Treatment Outcome
Ventricular Remodeling

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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