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Patients with severe ischemic cardiomyopathy (left ventricular ejection fraction &lt;25%) and severe ischemic mitral regurgitation have a poor survival with medical therapy alone. Left ventricular assist device as destination therapy is reserved for patients who are too high risk for conventional surgery. We evaluated our outcomes with conventional surgery within this population and the comparative effectiveness of these 2 therapies.

journal of thoracic and cardiovascular surgery

Management of severe ischemic cardiomyopathy: Left ventricular assist device as destination therapy versus conventional bypass and mitral valve surgery