PMID: 9192486Mar 1, 1997Paper

Radical alternatives to transplantation

Current Opinion in Cardiology
R C Starling

Abstract

Because of the lack of donor hearts, thousands of patients annually die with end-stage heart failure. Surgical alternatives to transplantation include partial left ventricular resection, dynamic cardiomyoplasty, and left ventricular assist devices. Partial left ventricular resection is an innovative procedure in which the heart is surgically reduced in size and cardiac function is dramatically improved immediately after surgery. Long-term follow-up is required to determine the success of this procedure. Dynamic cardiomyoplasty has been in use for 12 years. In properly selected patients, it results in significant amelioration of symptoms and improvement in quality of life. Improved survival and objective physiologic improvement have not been documented. A randomized trial is now in progress to evaluate survival with surgical therapy versus survival with medical therapy. Left ventricular assist devices have been shown to be extremely effective as a short- and long-term "bridge" to heart transplantation in mortally ill patients. They are not approved for long-term support as an alternative to transplantation in the United States, but a randomized trial is now underway to compare the efficacy of these devices with the efficacy of m...Continue Reading

Citations

Aug 30, 2000·International Journal of Cardiology·M W WestonD L Vesely
Dec 29, 2000·Journal of the American College of Cardiology·A KhandJ G Cleland
Jun 17, 1998·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F MaisanoO Alfieri
Mar 17, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·W KonertzG Baumann
Dec 22, 1999·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·J TraininiB Elencwajg
Oct 4, 2000·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·M Jessup
Dec 15, 2000·Progress in Pediatric Cardiology·A M MoranJ W Newburger
Mar 10, 2000·Journal of Cardiac Surgery·W KonertzG Baumann
Mar 10, 2001·Archives of Physical Medicine and Rehabilitation·S J GlassmanW C Walker

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.