Key result
Surgical management of heart failure, including revascularization, mitral valve interventions, mechanical circulatory support, and transplantation, plays a valuable role alongside medical therapy.
Why the study?
In addition to medical optimisation and cardiac resynchronisation therapy, surgery plays a valuable role in many patients with heart failure.
Surgical management, including revascularization, mitral valve interventions, and mechanical circulatory support, plays a crucial and evolving role in the multidisciplinary treatment of heart failure.
Supports surgical options in HF management; leaves open need for randomized trials on evolving percutaneous and MCS strategies.
Optimal management of heart failure is collaborative, with the involvement of specialist heart failure physicians, nurses, interventionalists, and surgeons. In addition to medical optimisation and cardiac resynchronisation therapy, surgery plays a valuable role in many patients. We herein study the evidence and the role of surgical intervention in functional mitral regurgitation, coronary revascularisation in ischaemic cardiomyopathy, and surgical ventricular reconstruction. Additionally, we describe techniques of temporary and durable mechanical circulatory support, with their relative advantages and disadvantages, and applications. Finally, we describe the history and nomenclature around heart transplants, their indications, techniques, present-day outcomes, complications, and new developments in the field.
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Wayne et al. (2021) conducted a review in Heart Failure. Surgical management (revascularization, valve surgery, mechanical circulatory support, transplantation) vs. Medical therapy or alternative surgical techniques was evaluated. Surgical management of heart failure, including revascularization, mitral valve interventions, mechanical circulatory support, and transplantation, plays a valuable role alongside medical therapy.
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