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Chapter 31 – Surgical Management of Heart Failure

Michael A. Acker,
Mariell Jessup

  CORONARY ARTERY REVASCULARIZATION, 601
  Ischemic Cardiomyopathy, 601
  Selection of Patients for Coronary Artery Revascularization, 601
  Risks of Coronary Artery Bypass Grafting, 601
  Benefits of Coronary Artery Bypass Grafting, 602

  VALVE SURGERY IN PATIENTS WITH LEFT VENTRICULAR DYSFUNCTION, 603
  Mitral Valve, 603
  Aortic Valve, 606

  LEFT VENTRICULAR RECONSTRUCTION, 606
  PASSIVE CARDIAC SUPPORT DEVICES, 607
  CARDIAC TRANSPLANTATION, 608
  Donor Allocation System, 608
  Evaluation of the Potential Recipient, 608
  The Cardiac Donor, 610
  Surgical Considerations, 610
  Immunosuppression, 611
  Rejection, 611
  Infection, 612
  Medical Complications and Comorbidities, 613
  Outcomes After Heart Transplantation, 614

  FUTURE PERSPECTIVES, 615
  REFERENCES, 615

In the current era of managing patients with heart failure with a depressed ejection fraction, clinicians frequently encounter optimally treated patients who remain symptomatic. Indeed, despite the variety of …