Skip to main content
. 2000 Feb 5;320(7231):366–369. doi: 10.1136/bmj.320.7231.366
Type of surgery Reason


Coronary revascularisation (PTCA, CABG) Angina, reversible ischaemia, hibernating myocardium
Valve replacement (or repair) Significant valve disease (aortic stenosis, mitral regurgitation)
Permanent pacemakers and implantable cardiodefibrillators Bradycardias; resistant ventricular arrhythmias
Cardiac transplantation End stage heart failure
Ventricular assist devices Short term ventricular support—eg awaiting transplantation
Novel surgical techniques Limited role (high mortality, limited evidence of substantial benefit)