Abstract
The prevalence of ischemic dilated cardiomyopathy in western countries is increasing despite improvements in prevention, diagnosis, and treatment of cardiovascular disease. The management of patients with coronary artery disease and severe left ventricular dysfunction continues to be challenging and the mortality rate with medical therapy alone in this setting remains very high. Since heart transplantation represents a realistic option just for a very small number of patients, in recent years a variety of classic surgical interventions have been improved or optimized to address the complex and multifactorial pathophysiology of the ischemic heart failure picture. Myocardial revascularization, left ventricular restoration, mitral valve repair, passive containment device implantation, and surgical ablation of atrial fibrillation represent some of the "conventional" procedures which are currently in use or under development for the surgical treatment of ischemic cardiomyopathy. For several of them, the exact indications and results are not yet established and significant changes and improvements should reasonably be waited over the next few years. As techniques are refined and more data become available, the optimum surgical strategy for patients with advanced ischemic heart failure is likely to become clearer and more effective.
| Original language | English |
|---|---|
| Journal | Italian Heart Journal |
| Volume | 5 Suppl 6 |
| Publication status | Published - May 2004 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Surgical options in ischemic cardiomyopathy. / De Bonis, Michele; Lapenna, Elisabetta; Ficarra, Eleonora; La Canna, Giovanni; Verzini, Alessandro; Pagliaro, Marco; Castiglioni, Alessandro; Maisano, Francesco; Torracca, Lucia; Benussi, Stefano; Alfieri, Ottavio.
In: Italian Heart Journal, Vol. 5 Suppl 6, 05.2004.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Surgical options in ischemic cardiomyopathy.
AU - De Bonis, Michele
AU - Lapenna, Elisabetta
AU - Ficarra, Eleonora
AU - La Canna, Giovanni
AU - Verzini, Alessandro
AU - Pagliaro, Marco
AU - Castiglioni, Alessandro
AU - Maisano, Francesco
AU - Torracca, Lucia
AU - Benussi, Stefano
AU - Alfieri, Ottavio
PY - 2004/5
Y1 - 2004/5
N2 - The prevalence of ischemic dilated cardiomyopathy in western countries is increasing despite improvements in prevention, diagnosis, and treatment of cardiovascular disease. The management of patients with coronary artery disease and severe left ventricular dysfunction continues to be challenging and the mortality rate with medical therapy alone in this setting remains very high. Since heart transplantation represents a realistic option just for a very small number of patients, in recent years a variety of classic surgical interventions have been improved or optimized to address the complex and multifactorial pathophysiology of the ischemic heart failure picture. Myocardial revascularization, left ventricular restoration, mitral valve repair, passive containment device implantation, and surgical ablation of atrial fibrillation represent some of the "conventional" procedures which are currently in use or under development for the surgical treatment of ischemic cardiomyopathy. For several of them, the exact indications and results are not yet established and significant changes and improvements should reasonably be waited over the next few years. As techniques are refined and more data become available, the optimum surgical strategy for patients with advanced ischemic heart failure is likely to become clearer and more effective.
AB - The prevalence of ischemic dilated cardiomyopathy in western countries is increasing despite improvements in prevention, diagnosis, and treatment of cardiovascular disease. The management of patients with coronary artery disease and severe left ventricular dysfunction continues to be challenging and the mortality rate with medical therapy alone in this setting remains very high. Since heart transplantation represents a realistic option just for a very small number of patients, in recent years a variety of classic surgical interventions have been improved or optimized to address the complex and multifactorial pathophysiology of the ischemic heart failure picture. Myocardial revascularization, left ventricular restoration, mitral valve repair, passive containment device implantation, and surgical ablation of atrial fibrillation represent some of the "conventional" procedures which are currently in use or under development for the surgical treatment of ischemic cardiomyopathy. For several of them, the exact indications and results are not yet established and significant changes and improvements should reasonably be waited over the next few years. As techniques are refined and more data become available, the optimum surgical strategy for patients with advanced ischemic heart failure is likely to become clearer and more effective.
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M3 - Article
C2 - 15185922
AN - SCOPUS:4644363012
VL - 5 Suppl 6
JO - Italian Heart Journal
JF - Italian Heart Journal
SN - 1129-471X
ER -