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[Surgery in heart failure (without transplantation)]
O Baron1, O al Habash, J N Trochu
1Pôle thoracique et cardiovasculaire, hôpital G. et R. Laennec, 44093 Nantes.
Archives Des Maladies Du Coeur Et Des Vaisseaux
|April 6, 2002
Summary
For end-stage heart failure, surgical alternatives to heart transplantation are explored due to graft scarcity. Coronary revascularization shows promising results for viable myocardial zones.
Area of Science:
- Cardiology
- Cardiac Surgery
- Transplantation
Context:
- End-stage heart failure necessitates advanced treatments like cardiac transplantation.
- A significant shortage of donor hearts limits transplantation options.
- Patients seek surgical interventions to improve condition and postpone transplant.
Purpose:
- To explore surgical alternatives for patients with end-stage heart failure awaiting transplantation.
- To surgically address underlying cardiac lesions contributing to heart failure.
Summary:
- Surgical options include valvular surgery, coronary artery bypass grafting, ventricular remodeling, and cardiomyoplasty.
- Coronary revascularization yields the most significant improvements.
- Treatment success depends on targeting viable myocardial tissue identified via stress echocardiography or PET scans.
Impact:
- Offers viable therapeutic strategies for patients ineligible for immediate heart transplant.
- Improves clinical outcomes and quality of life for advanced heart failure patients.
- Highlights the importance of myocardial viability assessment in surgical planning.