Surgical Options for the Treatment of Heart Failure

1. Front Matter

   Pages i-ix

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2. Pathophysiology of Contractile Dysfunction in Heart Failure

   • Naranjan S. Dhalla, Jingwei Wang, Xiaobing Guo

   Pages 1-13

3. Coronary artery bypass for advanced left ventricular dysfunction

   • John A. Elefteriades, George Tellides, Habib Samady, Meher Yepremyan, Umer Darr, Franz J. Th. Wackers et al.

   Pages 15-31

4. Valve surgery for regurgitant lesions of the aortic or mitral valves in advanced left ventricular dysfunction

   • Robert O. Bonow, Roy G. Masters

   Pages 33-47

5. Left Ventricular Aneurysm Repair for the Management of Left Ventricular Dysfunction

   • Lloyd C. Semelhago, Wilbert J. Keon

   Pages 49-59

6. Selection and Management of the Potential Candidate for Cardiac Transplantation

   • Lynne Warner Stevenson

   Pages 61-91

7. The Registry of the International Society for Heart and Lung Transplantation: Fifteenth Official Report—1998

   • Jeffrey D. Hosenpud, Leah E. Bennett, Berkeley M. Keck, Bennie Fiol, Mark M. Boucek, Richard J. Novick

   Pages 93-116

8. Mechanical Circulatory Support

   • Joe Helou, Robert L. Kormos

   Pages 117-135

9. Dynamic Cardiomyoplasty

   • Vinay Badhwar, David Francischelli, Ray C-J. Chiu

   Pages 137-156

10. Partial Left Ventriculectomy

    • Richard J. Kaplon, Patrick M. McCarthy

    Pages 157-164

11. Xenotransplantation

    • Farah N. K. Bhatti, John Wallwork

    Pages 165-173

12. Permanent Mechanical Circulatory Support

    • Tofy Mussivand, Paul J. Hendry, Roy G. Masters, Wilbert J. Keon

    Pages 175-186

13. Back Matter

    Pages 187-198

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Despite the significant decline in heart disease mortaht>' rates over the last 25 years, heart failure has remained a significant problem. We are now confronted with large numbers of terminally ill patients for whom conventional therapies for heart failure have been exhausted and for whom repeated hospital visits are necessary. There now is a major thrust towards a management strategy which embraces a comprehensive approach including vigorous preventive measures and earlier surgical interventions. This book outlines the major surgical options for the treatment of heart failure and brings together a very broad base of opinions with contributions from several outstanding individuals. With the improved knowledge and techniques to control rejection, transplantation has become the central pillar in the surgical management of this group of patients. Unfortunately, because of limited donor supply the teclmique cannot be applied to large numbers of patients. A great deal of excitement, however, exists in the potential for xenotransplantation as a supplement to homotransplantation. The use of cardiac assist devices has become a reality with several hundred LVADS and BiVADS implanted throughout the world and cardiac replacement with total artificial hearts continues to be used successfully as a bridge to transplantation. We are on the thieshold of the broad application of assist devices to provide prolonged relief of heart failure and restore patients to an ambulatoiy home environment and hopefully return to the work force in significant numbers.

• Bypass
• aneurysm
• heart
• lung
• pathophysiology
• surgery
• transplantation
• thoracic surgery

`This book is a timely and useful contribution to the overall knowledge of the management of the heart failure patient and provides a useful and worthwhile read for every cardiac surgeon of the day.'
W.J. Keon, Director General, University of Ottawa Heart Institute

• Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Canada

  Roy G. Masters

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