Decision making in the surgery of end stage ischaemic heart disease
| Condition | Intervention |
| Reversible ischaemia LVESVI < 60ml/m2 | CABG alone |
| Full thickness scar and left ventricular aneurysm | Linear resection ± CABG |
| Akinetic/dyskinetic left ventricle LVESVI > 60 ml/m2 Reversible ischaemia | Surgical remodelling ± CABG |
| Class III/IV mitral regurgitation | Mitral repair ± CABG |
| No reversible ischaemia LVESVI > 100 ml/m2Pulmonary hypertension (PAP > 70 mm Hg) Right ventricular failure | Left ventricular assist device or transplantation (no conservative option) |
LVESVI, left lentricular end systolic volume index (normal is < 30 ml/m2); CABG, coronary artery bypass grafting; PAP, pulmonary artery pressure.