Abstract

PAGANINI, Juan José. Heart failure surgery. What are we doing today. Rev.Urug.Cardiol. [online]. 2018, vol.33, n.1, pp.169-204. ISSN 0797-0048.  https://doi.org/10.29277/cardio.33.1.4.

This chapter addresses the concept of “heart failure surgery” as distinct from transplant, performed in patients with severe high-risk left ventricular dysfunction.

Emphasis is placed on myocardial revascularization procedures, myocardial reduction, left ventricle remodeling and mitral valve reconstructive surgery.

Indications for coronary artery bypass procedures such as viability, extension of ischemia and coronary anatomy are analyzed and comparison with medical treatment is described.

Review of different registers regarding ventricular remodeling surgery in patients with large scars and dyskinetic areas is made. Finally, the role of surgery for the treatment of ischemic mitral regurgitation due to remodeling and ventricular dysfunction is described. A brief review of the diagnostic criteria, possible replacement or repair according to the anatomical and functional situation along with its advantages and disadvantages is made.

Keywords : Heart failure; Heart surgery; Revascularization; Mitral regurgitation.

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