Surgical Treatment of Advanced Heart Failure

Author: Fawwaz Shaw, MD; Jason Smith, MD
Institution: University of Washington
Date Reviewed: November 2013
Learning Domain: Adult Cardiac Surgery
Learning Objective: Surgical Treatment of Advanced Heart Failure
PowerPoint File: Surgical Treatment of Advanced Heart Failure

Discussion Points for Conference

• 53 yo Male with ICM, AHA Class IV HF, PHTN, Good social support
• Ongoing Medical Therapy
  • Natural history
• Advanced Medical Therapy
• CABG 
• Transplant
  • Indications/contraindications
• Mechanical Circulatory Support
  • Short term vs long term support options

Learning Points

• Options for patients with advanced HF
  • IV inotropic support
  • High risk surgical intervention
  • Mechanical Circulatory Support
  • Transplant
• Patients may shift from one treatment strategy to another during the course of therapy.