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Surgical Procedures for Heart Failure
Treating Heart Failure
- Are not candidates for transplant
- Do not respond to medical therapy
- Have a low risk of surviving one year
Treating Other Heart Conditions
- Heart valve replacement: Improves the blood flow inside the heart, but has not been shown to improve heart failure survival. It may be considered for some situations.
- Coronary artery graft bypass (CABG): More commonly known as open-heart or bypass surgery. Grafted veins from the legs are used to go around clogged arteries that feed the heart muscle. This will improve blood flow to the heart muscle and help it work more efficiently.
ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults. A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2009;119(14):1977-2016.
Atluri P, Goldstone AB, et al. Minimally Invasive Mitral Valve Surgery Can Be Performed With Optimal Outcomes in the Presence of Left Ventricular Dysfunction. Ann Thorac Surg. 2013;96(5):1596-1601.
Bernard ML, Gold ML. Economic implications and cost-effectiveness of implantable cardioverter defibrillator and cardiac resynchronization therapy. Heart Fail Clin. 2011;7(2):241-250.
Edelman JJ, Yan TD, et al. Off-pump coronary artery bypass surgery versus percutaneous coronary intervention: a meta-analysis of randomized and nonrandomized studies. Ann Thorac Surg. 2010;90(4):1384-1390.
Grossi EA, Galloway AC, et al. Impact of minimally invasive valvular heart surgery: a case-control study. Ann Thorac Surg. 2001;71:807.
Heart failure. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated October 7, 2013. Accessed October 9, 2013.
Heart transplant. Transplant living website. Available at: http://www.transplantliving.org/before-the-transplant/about-the-operation/heart. Accessed October 9, 2013.
Implantable medical devices for heart failure. American Heart Association website. Available at: http://www.heart.org/HEARTORG/Conditions/HeartFailure/PreventionTreatmentofHeartFailure/Implantable-Medical-Devices-for-Heart-Failure%5FUCM%5F306354%5FArticle.jsp. Updated September 20, 2013. Accessed October 9, 2013.
Leclercq C, Kass DA. Retiming the failing heart: principles and current clinical status of cardiac resynchronization. J Am Coll Cardiol. 2002;39(2):194-201.
Steinman TI, Becker BN, et al. Guidelines for the referral and management of patients eligible for solid organ transplantation. Transplantation. 2001;71:1189.
Surgical procedures for heart failure. American Heart Association website. Available at: http://www.heart.org/HEARTORG/Conditions/HeartFailure/PreventionTreatmentofHeartFailure/Surgical-Procedures-for-Heart-Failure%5FUCM%5F306345%5FArticle.jsp. Updated September 20, 2013. Accessed October 9, 2013.
What to expect before a heart transplant. National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health//dci/Diseases/ht/ht%5Fbefore.html. Accessed October 9, 2013.
2/1/2013 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Peura JL, colvin-Adams M, et al. Recommendations for the use of mechanical circulatory support: device strategies and patient selection: a scientific statement from the American Heart Association. Circulation. 2012;126(22):2648-2667.
- Reviewer: Michael J. Fucci, DO
- Review Date: 09/2014
- Update Date: 09/17/2014