La chirurgia non trapiantologica dello scompenso cardiaco

Translated title of the contribution: Conventional surgery for congestive heart failure

Michele De Bonis, Elisabetta Lapenna, Giovanni La Canna, Alessandro Verzini, Antonio Grimaldi, Flavia Sorrentino, Alessandro Castiglioni, Lucia Torracca, Francesco Maisano, Stefano Benussi, Ottavio Alfieri

Research output: Contribution to journalArticlepeer-review


Congestive heart failure is a major public health problem in western countries. Although substantial efforts have been made in the last decades in the prevention, diagnosis and treatment of cardiovascular disease, the incidence of end-stage dilated cardiomyopathy is still increasing. Heart transplantation represents the most effective therapy in this setting, but due to shortage of donors, it remains a realistic option just for a very small number of patients. Therefore, conventional surgical treatment for end-stage heart disease has gained increasing attention in recent years and a variety of surgical interventions have been improved or optimized to manage the multifactorial pathophysiology of the heart failure picture. The aim of this review is to report our experience with more than 500 patients with advanced dilated cardiomyopathy, treated with conventional surgical procedures such as myocardial revascularization, left ventricular restoration, mitral valve repair and surgical ablation of atrial fibrillation. Indications, results, controversial issues and future perspectives will be discussed.

Translated title of the contributionConventional surgery for congestive heart failure
Original languageItalian
Pages (from-to)241-251
Number of pages11
JournalGiornale Italiano di Cardiologia
Issue number4
Publication statusPublished - Apr 2006

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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