April 1, 1998Open Access
View Full PaperPartial left ventriculectomy and mitral valve repair for end-stage congestive heart failure1
Key Result
Partial left ventriculectomy with mitral valve repair is a surgical option for end-stage congestive heart failure, though early failures are unpredictable and may require mechanical support.
Structured PICO
P
Population
Patients with end-stage congestive heart failure
I
Intervention
Partial left ventriculectomy (PLV) and mitral valve (MV) repair
Partial left ventriculectomy with mitral valve repair is a surgical option for end-stage heart failure, but unpredictable early failures require caution and possible mechanical support.
Limitations
- Early failures are unpredictable
- Mechanical support may be required as rescue therapy
- Better risk stratification and patient selection are needed
Abstract
Although PLV with MV repair is now a surgical option in the treatment of end-stage congestive heart failure, caution is advised as early failures are unpredictable and mechanical support may be required as rescue therapy. Better risk stratification and patient selection may improve outcome. Further study is required to determine the procedure's exact role in the treatment of congestive heart failure.