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Implantation of Total Artificial Heart in Congenital Heart Disease
07:27

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

[Surgery in advanced heart failure]

Axel Haverich1, Heidi Görler

  • 1Abteilung für Thorax-, Herz- und Gefässchirurgie, Medizinische Hochschule Hannover. Haverich@thg.mh-hannover.de

Herz
|October 9, 2002
PubMed

Insights

Surgical options for chronic heart failure complement medical treatments, including organ-preserving procedures and heart transplantation. These surgical strategies aim to address the root causes of heart failure, improving patient outcomes.

Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Medical therapy, including ACE inhibitors and beta blockers, has significantly reduced morbidity and mortality in chronic heart failure.
  • Surgical interventions offer additional treatment modalities for heart failure.

Purpose of the Study:

  • To review current surgical strategies for heart failure treatment.
  • To highlight advancements in organ-conserving techniques and heart replacement therapy.

Main Methods:

  • Discussion of surgical approaches including left ventricular aneurysmectomy, mitral valve surgery, coronary artery bypass surgery, and electrostimulation.
  • Comparison of organ-conserving techniques with heart replacement therapy, specifically cardiac transplantation.

Main Results:

  • Significant progress has been made in organ-conserving surgical techniques for heart failure.
  • Cardiac transplantation demonstrates a 10-year survival rate of 50%, remaining superior to current mechanical devices.

Conclusions:

  • Surgical treatment for heart failure should be tailored to the underlying etiology and mechanisms.
  • Indications and contraindications must be carefully considered for each patient.
  • Cardiac transplantation remains the most effective heart replacement therapy currently available.
Abstract

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