... lifetime therapy should the heart not
recover. If a transplant candidate’s heart improves
during LVAD unloading, there is the option for
device removal instead of transplantation. In the
future ... exist. The
LVAD sustains life, whereas the patient’s re-
sponse determines the clinical course. For in-
stance, non–transplant-eligible patients may be
salvaged with a tempora...
... the archi-
tecture of the anatomic distribution of cardiac
muscle fibers. The double spiral that constitutes
the three-dimensional (3-D) architecture of the
heart permits a shortening of 15% of ... the
myocytes in a complex array of fibers forming
the 3-D architecture of the wall and coordinating
the delivery of forces generated by myocytes.
These forces ar...
... disease of the elderly, and the prevalence of
chronic heart failure increases with advancing age.
Currently, chronic heart failure is the most
common hospital discharge diagnosis in patients
over the ... shortage
of donor hearts. Currently, the mainstay of heart
failure treatment is pharmacologic and includes
angiotensin converting enzyme inhibitors, angio-
ten...
... there is a change
in clinical status. However patients who have bio-
prosthetic valves may be considered for annual
echocardiography after the first 5 years in the ab-
sence of a change in clinical ... prosthetic valve depends upon the type,
size, and position of the prosthesis as well as the
cardiac output; guidelines are available for the ac-
ceptable range of Doppler...
... spontaneous or inducible ventricu-
lar tachycardia, cryotherapy was also applied to
the edges of the resection (50% of cases). Between
development of the surgical principles in 1984 and
2002, the Dor ... mm Hg [53]. One third of the cases had mitral
regurgitation requiring repair. A balloon in ated
to the theoretic diastolic capacity of the patient
14 9SURGERY FOR...
... result of emerging knowl-
edge, new procedures, and technical advances. This
article addresses the pathophysiology, the treat-
ment options, and their rationale in the setting of
life-threatening ... has
played a key role in addressing emergent catastro-
phes with resultant improvement in mortality and
salvage of myocardium in the aftermath of AMI.
Surgery has also...