Surgical Remodeling in Heart Failure

1. Front Matter

   Pages I-VIII

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2. The Heart Failure Syndrome: New Insights - From Receptors to Molecular Biology

   • W. Schillinger, G. Hasenfuss

   Pages 1-18

3. End stage heart failure-options for medical treatment and beyond

   • P. A. Poole-wilson

   Pages 19-30

4. Heart Transplantation for Cardiomyopathy - therapeutic Gold Standard?

   • W. Harringer, M. Wirsing, H.-W. Künsebeck, A. Haverich

   Pages 31-40

5. Cardiac assistance from skeletal muscle achieving a viable and appropriately transformed graft

   • S. Salmons

   Pages 41-51

6. Cardiomyoplasty in Chronic Heart Failure: The Paris Experience

   • J. C. Chachques, A. Carpentier

   Pages 53-62

7. Biomechanical hearts in aorta-descendens position — operative procedure and volumetry in adult goats

   • N. W. Guldner, P. Klapproth, M. Grossherr, H. Sievers

   Pages 63-66

8. Geometrical considerations in (reverse) remodeling

   • Ch. J. F. Holubarsch

   Pages 67-82

9. Mitral Valve repair for surgical remodeling

   • S. F. Bolling, I. A. Smolens

   Pages 83-95

10. Reduction ventriculoplasty

    • R. J. V. Batista

    Pages 97-104

11. Artificial heart:today’s facts and future horizons

    • A. El-Banayosy, R. Körfer

    Pages 105-113

12. Apoptosis in Heart Failure Reversible

    • D. Darmer, B. Bartling, J. Holtz

    Pages 115-133

Despite all efforts and success in medical treatment, the incidence of (end-stage) chronic heart failure is increasing. Cardiac transplantation remains the only definite option; however, due to the shortage of donor organs, very few people benefit. Therefore, surgery of end-stage heart failure using conventional techniques has gained new interest after the introduction of the Batista operation. However, a clear surgical identification of the patients to be included in this group is lacking. Left ventricular reduction surgery as well as reduction of the base of the heart using mitral annuloplasty or mitral valve replacement, sparing both papillary muscles, is used in selected patients with satisfying results and good survival. Long-term mechanical support with subsequent surgical remodeling or supporting myoplasty may result in a beneficial alternative to heart transplantation.

• Heartfailure
• Herzinsuffizienz
• Remodeling
• Surgical Remodeling
• heart
• heart transplantation
• transplantation

• Universitätsklinik für Herz- und Thoraxchirurgie, Kantonsspital Basel, Basel

  W. Brett, A. Todorov, M. Pfisterer, Hans-Reinhard Zerkowski

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