Show Summary Details
Page of

High-risk heart failure surgery: Strategies for coronary artery bypass grafting and valve surgery in patients with reduced ejection fraction 

High-risk heart failure surgery: Strategies for coronary artery bypass grafting and valve surgery in patients with reduced ejection fraction
Chapter:
High-risk heart failure surgery: Strategies for coronary artery bypass grafting and valve surgery in patients with reduced ejection fraction
Author(s):

Marzia Leacche

, Garrick C. Stewart

, and John G. Byrne

DOI:
10.1093/med/9780198734871.003.0013
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 18 October 2019

Although medical therapies for heart failure are proven to reduce the risk of death from systolic heart failure, the prevalence of patients with refractory symptoms is on the rise. Advanced therapies are insufficient to meet the needs of most patients with severe ventricular dysfunction, and optimal management of chronic heart failure requires the combination of surgical and medical expertise in a multidisciplinary team approach. Successful surgery in patients with reduced left ventricular function relies on careful patient selection, thoughtful use of noninvasive imaging, and application of pioneering operative techniques. This chapter explores strategies for coronary revascularization in ischemic heart disease and surgery for left-sided valvular lesions in high-risk patients with heart failure. Coronary artery disease and valve surgery in heart failure are considered with focus on preoperative considerations, surgical technique and aortic stenosis and regurgitation.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.