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Updated: Jun 21, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
A heart failure specialist's perspective on cardiac surgery for heart failure
1Division of Cardiology, Davis Heart-Lung Research Institute, The Ohio State University, 473 West 12th Avenue, Columbus, OH 43210, USA. leier-1@medctr.osu.edu
Insights
Cardiac surgery is evolving beyond rescue procedures for heart failure patients. New interventions like bypass surgery and valve repair can now prevent or delay cardiac dysfunction progression.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Heart failure management traditionally relied on interventions like cardiac transplantation and ventricular assist devices.
- Cardiac surgery has shifted from primarily rescue procedures to proactive interventions for heart failure.
Purpose of the Study:
- To discuss the evolving role and impact of specific cardiac surgical interventions in managing heart failure.
- To highlight surgical options that prevent or delay cardiac dysfunction progression.
Main Methods:
- Review of current cardiac surgical procedures for heart failure.
- Discussion of interventions including coronary artery bypass surgery, ventricular restoration, and valvular repair/replacement.
Main Results:
- Cardiac surgery now offers interventions beyond transplantation and mechanical support.
- Procedures like coronary artery bypass surgery, ventricular restoration, and valvular repair/replacement are key in managing heart failure.
- These surgical options aim to prevent or delay the progression of cardiac dysfunction.
Conclusions:
- Cardiac surgery plays a significant role in the comprehensive management of heart failure patients.
- Surgical interventions are increasingly vital for preventing or delaying the progression of cardiac dysfunction and failure.
Abstract:
Aside from cardiac transplantation, ventricular assist devices, and the total artificial heart, cardiac surgery now also plays a major role in the overall management of the heart failure patient. For patients with heart failure, cardiac surgery has steadily moved from being a predominant rescue procedure (eg, aneursymectomy, rupture repair, transplantation) to surgical interventions that can prevent or delay the progression of cardiac dysfunction and failure; these operations now include coronary artery bypass surgery, ventricular restoration, and valvular repair/replacement. This article discusses the role and impact of these specific surgical interventions in the setting of ventricular dysfunction and heart failure.
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