Surgical options in ischemic cardiomyopathy.

Michele De Bonis, Elisabetta Lapenna, Eleonora Ficarra, Giovanni La Canna, Alessandro Verzini, Marco Pagliaro, Alessandro Castiglioni, Francesco Maisano, Lucia Torracca, Stefano Benussi, Ottavio Alfieri

Research output: Contribution to journalArticlepeer-review


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 languageEnglish
JournalItalian Heart Journal
Volume5 Suppl 6
Publication statusPublished - May 2004

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


Dive into the research topics of 'Surgical options in ischemic cardiomyopathy.'. Together they form a unique fingerprint.

Cite this