Title:Surgical Management of Heart Failure

VOLUME: 17 ISSUE: 5

Author(s):Stephanie L. Wayne* and Adam D. Zimmet

Affiliation:CJOB Department of Cardiothoracic Surgery, Alfred Health, 55 Commercial Rd. Melbourne, Victoria 3004, CJOB Department of Cardiothoracic Surgery, Alfred Health, 55 Commercial Rd. Melbourne, Victoria 3004

Keywords:Surgical management, heart failure, mechanical circulatory support, mitral regurgitation, ischaemic cardiomyopathy, heart transplant.

Abstract:Optimal management of heart failure is collaborative, with the involvement of specialist heart failure physicians, nurses, interventionalists, and surgeons. In addition to medical optimisation and cardiac resynchronisation therapy, surgery plays a valuable role in many patients. We herein study the evidence and the role of surgical intervention in functional mitral regurgitation, coronary revascularisation in ischaemic cardiomyopathy, and surgical ventricular reconstruction. Additionally, we describe techniques of temporary and durable mechanical circulatory support, with their relative advantages and disadvantages, and applications. Finally, we describe the history and nomenclature around heart transplants, their indications, techniques, present-day outcomes, complications, and new developments in the field.