Surgical Treatment for Heart Failure

Surgical Treatment for Heart Failure

ICM is defined as diffuse akinesis of the ventricle after myocardial ischemia, and the pathology is different from LV aneurysm, which is dyskinesis after myocardial infarction. The etiology has been described as chronic LV remodeling after the ischemia,1 and the surgical treatment of ICM was thought to be heart transplantation only. However, the new surgical procedure of endoventricular circula...

Surgical treatment concepts for heart failure

Our present generation is seeing a continued increase in the incidence of heart failure worldwide. Fundamental advances in medical and surgical therapy for patients with heart failure has been laid out for over two decades, and a number of treatment options to prevent or delay its onset has, until now, been a main focus of experimental and clinical researches. Much as has been said and done, he...

Surgical Treatment for Heart Failure in Ischemic Cardiomyopathy

Background: Cardiac transplantation remains the gold standard of surgical therapies for severe LV dysfunction ischemic cardiomyopathy. However, the Achilles heel of heart transplantation is the shortage of organ donors. Thus, nontransplant surgical alternatives are necessary to treat many of the patients who progress to intractable Class III, or especially Class IV, heart failure. Methods: Two ...

STICH (Surgical Treatment for Ischemic Heart Failure) trial enrollment.

OBJECTIVES The aim of this study was to assess the influence of enrolling site location and enrollment performance on the generalizability of STICH (Surgical Treatment for Ischemic Heart Failure) trial results. BACKGROUND The international STICH trial seeks to define the role of cardiac surgery for patients with ischemic cardiomyopathy. METHODS Baseline characteristics of 2,136 randomized S...

Surgical treatment of heart failure: a hot topic.