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Updated: Jul 13, 2026

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
Surgery for heart failure: now something for everyone?
1Oxford Heart Centre, John Radcliffe Hospital, Headington, Oxford, UK. stephen.westaby@orh.nhs.uk <stephen.westaby@orh.nhs.uk>
Insights
Surgical options for heart failure are advancing beyond transplants. Left ventricular restoration and new blood pump technologies offer hope for many patients with advanced heart disease.
Area of Science:
- Cardiovascular Surgery
- Biomedical Engineering
- Regenerative Medicine
Background:
- Cardiac surgery has evolved significantly over 50 years.
- Medical treatments and cardiac resynchronization therapy have limitations for heart failure patients.
- Donor heart availability is insufficient for the majority of heart failure cases.
Purpose of the Study:
- To explore emerging surgical strategies for heart failure.
- To highlight the potential of left ventricular restoration surgery.
- To discuss the role of bioengineered blood pumps in future therapies.
Main Methods:
- Review of current trends in cardiac surgery.
- Analysis of the relationship between cardiac structure and function.
- Examination of advancements in blood pump technology.
Main Results:
- Non-transplant surgical options are expanding for heart failure.
- Left ventricular restoration surgery leverages cardiac mechanics for improved function.
- Bioengineered blood pumps represent a promising alternative and platform for novel therapies.
Conclusions:
- Surgical interventions beyond transplantation are crucial for managing heart failure.
- Left ventricular restoration offers a potential solution based on cardiac geometry.
- Blood pump bioengineering paves the way for innovative genetic and stem cell therapies for heart failure.
Abstract:
For the past 50 years cardiac surgery has been in a continuous state of flux. Non-transplant heart failure surgery is an expanding field at a time when medical treatment and cardiac resynchronization therapy have recognized limits. Although donor hearts can be supplied to only a tiny minority of patients who have heart failure, other surgical options may soon provide symptomatic relief for the majority. Left ventricular restoration surgery is predicated on the well-defined relationship between cardiac shape, volume, and function. The recent remarkable developments in blood pump bioengineering provide an alternative approach and a platform on which to base genetic or stem cell therapies.
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