Fernández de la Reguera Fernández del Campo G
Instituto Nacional de Cardiología Ignacio Chávez, INCICH, Juan Badiano No. 1, 14080 México, D.F.
Arch Cardiol Mex. 2001 Jan-Mar;71 Suppl 1:S51-3.
Terminal heart failure with no response to pharmacological treatment has been a challenge in medical practice: besides its deleterious effects on quality of life for all patients, it has a very high mortality rate. At present, surgical treatment of terminal heart failure consist basically in cardiac transplantation, which demands precise surgical indications, donor and receptor selection and adequate immunosuppression. Cardiac transplantation has contributed lower mortality rate and quality of life. Other surgical procedures that have been tried include cardiomyoplasty, partial left ventriculostomy (Batista's surgical procedure) and the use of several left ventricular mechanical devices.
除了对所有患者的生活质量产生有害影响外，其死亡率也非常高。目前，终末期心力衰竭的外科治疗主要包括心脏移植，这需要精确的手术指征、供体和受体的选择以及适当的免疫抑制。心脏移植降低了死亡率并提高了生活质量。其他尝试过的外科手术包括心肌成形术、部分左心室造口术（巴蒂斯塔手术）以及使用多种左心室机械装置。
