NDLI: Surgical approach to end-stage heart failure.

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The anesthetic management of cardiovascular trauma.

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Surgical approach to end-stage heart failure.

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Lung volume reduction surgery: nonpharmacological approach.

Robotic cardiac surgery.

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Surgical approach to end-stage heart failure.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Klotz, Stefan Scheld, Hans H.
Description	Country affiliation: Germany Author Affiliation: Klotz S ( Department of Thoracic and Cardiovascular Surgery, University Hospital Muenster, Muenster, Germany. stefan.klotz@ukmuenster.de)
Abstract	PURPOSE OF REVIEW: End-stage heart failure is a challenging disease with growing incidence. With decreasing heart transplant rates worldwide organ preserving therapies become, again, of interest. The purpose of the present review is to examine the potential challenges of surgical therapies in patients with end-stage heart failure. RECENT FINDINGS: The gold-standard for end-stage heart failure is and will be cardiac transplantation. However, due to organ shortage this therapy is limited to a few patients. Therefore implantation of ventricular assist devices (VADs) or long-term minimal-invasive partial support devices will increase. Improvements in device design with smaller devices, easier implantation techniques, and modified anticoagulation outcome and long-term success will likely improve. In addition, good quality of life as destination therapy is almost available. Organ conservation surgery (coronary artery bypass grafting and surgical ventricular restoration or surgical repair of mitral valve regurgitation) in end-stage heart failure patients could not prove the expected results. Transcatheter or minimal-invasive approaches of these therapies might become routine in the near future. SUMMARY: Due to the overwhelming outcome rates, cardiac transplantation is the most established surgical therapy for end-stage heart failure. VAD therapy is increasing and minimized VADs might further open the market for destination therapy/permanent support.
File Format	HTM / HTML
ISSN	09527907
Issue Number	1
Volume Number	24
e-ISSN	14736500
Journal	Current Opinion in Anaesthesiology
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2011-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Anesthesiology Heart Failure Surgery Coronary Artery Bypass Heart Transplantation Heart-assist Devices Humans Mitral Valve Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine

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