Surgical alternatives to transplantation for treatment of heart failure

Izzat, Mohammad Bashar; Angelini, Gianni D

doi:10.1016/s1388-9842(98)00011-7

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…It is likely that this should be performed in all patients undergoing left ventricular volume reduction surgery, regardless of the presence or degree of mitral incompetence, because the change in orientation of the papillary muscles may create redundant length to the chordae and leaflet prolapse. The question of whether mitral reconstruction alone is sufficient in the surgical management of dilated cardiomyopathy has already been raised, and can only be settled through prospective randomized trials [9].…”

Section: Discussionmentioning

confidence: 99%

Early Experience with Left Ventricular Volume Reduction Surgery in Syria

Kabbani,

Izzat,

Jamil

et al. 2000

Cardiovascular Surgery

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Objective: To review our early experience with left ventricular volume reduction surgery (the Batista operation) in the management of patients with end-stage heart failure. Methods: Between December 1996 and April 1998, 10 patients (9 males, mean age 32 yr) with advanced symptomatic cardiomyopathy underwent left ventricular volume reduction surgery at Damascus University Cardiovascular Surgical Center. The cause of cardiomyopathy was idiopathic in three patients, valvular in four, ischemic in two, and viral myocarditis in one patient. Concomitant procedures included aortic valve replacement in four patients, mitral valve repair in six patients, and coronary artery bypass grafting in two patients. Results: All patients survived the procedure. Echocardiography prior to discharge documented significant improvement in ejection fraction in all but two patients. Mean follow-up was 7.6 months. After discharge, three patients developed progressive congestive heart failure to which they subsequently succumbed, and two more patients died suddenly late postoperatively. Only two patients continue to show both clinical and echocardiographic evidence of improvement. Conclusion: Left ventricular volume reduction surgery cannot be freely advocated until better means are found to identify patients who will benefit from the procedure, and proper prophylaxis against fatal postoperative complications can be afforded.

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Section: Discussionmentioning

confidence: 99%

Early Experience with Left Ventricular Volume Reduction Surgery in Syria

Kabbani,

Izzat,

Jamil

et al. 2000

Cardiovascular Surgery

View full text Add to dashboard Cite

show abstract

“…Multiple drugs may improve, but do not stop progression of the disease. Surgical procedures have been proposed for the treatment of heart failure, as an additional procedure for progressive heart failure after drug therapy has failed [3,4]. Heart transplantation is the treatment of choice for severe heart failure.…”

Section: Introductionmentioning

confidence: 99%