Eccentric cardiac remodeling seen in dilated cardiomyopathy or regurgitant valvular disease is a well-known process of heart failure progression, but its mechanoenergetic profile has not been yet established. We made a volume overload (VO) heart failure model in rats and for the first time investigated left ventricular (LV) mechanical work and energetics in cross-circulated whole heart preparations. Laparotomy was performed in 14 Wistar male rats, and abdominal aortic-inferior vena caval shunt was created in seven rats (VO group). Another seven rats underwent a sham operation without functional shunt (Sham group). LV dimensions changes were followed with weekly transthoracic echocardiography. Three months after surgery, we measured LV pressure and volume and myocardial O2 consumption in isolated heart cross circulation. LV internal dimensions in both systolic and diastolic phases were significantly increased in the VO group versus the Sham group (P Ͻ 0.05). LV pressure was markedly decreased in the VO group versus in the Sham group (P Ͻ 0.05). LV end-systolic pressurevolume relation shifted downward, and myocardial O2 consumption related to Ca 2ϩ handling significantly decreased. The contractile response to Ca 2ϩ infusion was attenuated. Nevertheless, the increase in Ca 2ϩ handling-related O2 consumption per unit change in LV contractility in the VO group was significantly higher than that in the Sham group (P Ͻ 0.05). The levels of sarco(endo)plasmic reticulum Ca 2ϩ -ATPase 2a protein were reduced in the VO group (P Ͻ 0.01). In conclusion, VO failing rat hearts had a character of marked contractile dysfunction accompanied with less efficient energy utilization in the Ca 2ϩ handling processes. These results suggest that restoring Ca 2ϩ handling in excitation-contraction coupling would improve the contractility of the myocardium after eccentric cardiac remodeling. eccentric left ventricular hypertrophy; myocardial oxygen consumption; Ca 2ϩ handling; sarco(endo)plasmic reticulum Ca 2ϩ -ATPase 2a; cross circulation; aortocaval shunt HEART FAILURE IS A MAJOR CAUSE of mortality and morbidity. It is due to various diseases such as hypertension, ischemic heart disease, valvular heart disease, congenital heart disease, cardiomyopathy, myocarditis, and others. The heart is subject to excessive and/or long-term overload, which induces myocardial hypertrophy. Hypertrophy initially compensates cardiac function but finally leads to heart failure. The process of hypertrophy and heart failure progression is divided into two mechanisms, depending on the type of overload: pressure overloading (PO) and volume overloading (VO). PO induces concentric hypertrophy to normalize wall stress from the increase in pressure placed on cardiomyocytes. Concentric remodeling of the left ventricle (LV) is characterized by an increase in ventricular wall thickness due to vertical growing of cardiomyocytes, which is caused by the parallel addition of sarcomeres (8).Conversely, VO promotes eccentric hypertrophy to compensate for excess blood volum...