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Surgery for Heart Failure

 
 

Mitral valve repair

Do I need surgery?
Surgery should be considered when medications cannot control the symptoms of heart failure. Surgery is best performed before the heart is irreversible damaged or other body organ systems are also impaired.


The heart may become chronically weakened and unable to adequately supply the metabolic needs of the body. Conditions that result in heart failure include:

  • ischemic heart disease (coronary artery disease)
  • valvular heart disease
  • congenital heart defects
  • infections
  • idiopathic cardiomyopathy (unknown cause)

Control of blood pressure and careful management of body fluid status are the essentials of medical treatment. Despite intensive medical management, some patients will develop progressive heart failure which is becomes resistant to medications.

Heart transplantation is considered in younger patients and results in excellent long-term quality of life. However, there are many patients with heart failure who are not candidates for transplantation.

Newer surgical options for the treatment of heart failure are emerging and include:

  • mechanical assist devices
  • ventricular restoration/remodeling
  • mitral valve repair
  • high-risk coronary artery bypass