Surgical Treatments for Advanced Heart Failure

被引：6
作者：
Daneshmand, Mani A. [1 ]
Milano, CarmeloA. [1 ]
机构：
[1] Duke Univ, Med Ctr, Dept Gen & Thorac Surg, Durham, NC 27710 USA
来源：
SURGICAL CLINICS OF NORTH AMERICA | 2009年 / 89卷 / 04期
关键词：
Heart failure; Ventricular assist device; Transplantation; Surgical ventricular restoration; Immunosuppression; LEFT-VENTRICULAR ASSIST; INHALED NITRIC-OXIDE; MECHANICAL CIRCULATORY SUPPORT; INDUCTION THERAPY; CARDIAC TRANSPLANTATION; PULMONARY-HYPERTENSION; DILATED CARDIOMYOPATHY; MYOCARDIAL-INFARCTION; INTERNATIONAL-SOCIETY; LUNG-TRANSPLANTATION;
D O I：
10.1016/j.suc.2009.06.007
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Patients with heart failure represent a significantly ill cohort, and the survival of the most advanced heart failure patients is dismal with medical management alone. This cohort of advanced heart-failure patients benefits from several surgical treatments. Although several techniques for surgical ventricular restoration in the setting of left ventricular aneurysms have been described, the broader application of these techniques to patients with ischemic cardiomyopathy has occurred during the last decade. This review focuses on left ventricular aneurysm (LVA) repair and surgical ventricular restoration, ventricular assist devices, and cardiac allograft transplantation for the treatment of advanced heart failure. Indications for these procedures are addressed, as well as intraoperative technical features and postoperative management strategies.
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页码：967 / +
页数：34
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