Document Detail

Surgical treatments for advanced heart failure.
MedLine Citation:
PMID:  19782847     Owner:  NLM     Status:  MEDLINE    
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.
Mani A Daneshmand; Carmelo A Milano
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Surgical clinics of North America     Volume:  89     ISSN:  1558-3171     ISO Abbreviation:  Surg. Clin. North Am.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-09-28     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0074243     Medline TA:  Surg Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  967-99, x     Citation Subset:  AIM; IM    
Department of General and Thoracic Surgery, Duke University Medical Center, DUMC 3043, Durham, NC 27710, USA.
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MeSH Terms
Heart Failure / surgery*
Heart Transplantation* / adverse effects
Heart Ventricles / surgery
Heart-Assist Devices* / adverse effects
Immunosuppression / methods
Patient Selection
Postoperative Complications / etiology,  therapy
Prosthesis Design
Randomized Controlled Trials as Topic

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

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