Up to the first half of the 1980s, it was considered unwise to operate on a patient with a severely impaired left ventricle (EF < 30%). Surgeons who did so were widely and severely criticized. The concerns were (1) that the risk of surgery would be extremely high, often taking the patient’s life in the process of surgery, and (2) that the patient would manifest an inexorable deterioration toward death regardless of the surgery performed. Courageous surgical efforts in that era led to the safe and commonplace performance of surgical interventions for the failing left ventricle in the present era. This Special Issue takes specific aim at the current status of surgery for patients with severely impaired left ventricles—exploring current indications, current levels of safety, and advanced surgical options.
Dr. John Elefteriades and Dr. Bulat Ziganshin
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