Complex cardiovascular surgery in Jehovah's Witnesses was associated with acceptable surgical outcomes, especially if they electively completed optimization. Our Jehovah's Witnesses' optimization protocol targeting a hemoglobin level greater than 12 g/dL seemed to be effective in reducing adverse events at The University of Chicago Medicine.

The LVAD patients with surgically corrected MR had improved midterm hemodynamics and survival compared with spontaneously resolved MR, along with low recurrence of MR. Aggressive surgical mitral valve intervention during LVAD implantation may be recommended.

The SC-IABP provided excellent hemodynamic support with minimal morbidity and mortality, allowed for extensive rehabilitation, and permitted more than 90% of patients to receive their intended therapy. Therefore, SC-IABP is a compelling bridge device for patients with advanced congestive heart failure.

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