About

Surgical Ventricular Restoration (SVR) is a surgical procedure for patients with Congestive Heart Failure (CHF) that restores the enlarged left ventricle (heart chamber) to a more normal size and shape, greatly improving the pumping action of the heart. The surgeon remodels the dilated ventricle using a device sized and shaped like a normal ventricle. This remodeling or ventricular restoration results in improving the heart's pumping ability. When the heart can pump more effectively, many of the symptoms associated with CHF, such as shortness of breath, fatigue, and edema, are improved or relieved.

Heart Failure

What is heart failure?

Heart failure, also called congestive heart failure, is a condition in which the heart cannot pump enough oxygenated blood to meet the needs of the body's other organs. The heart keeps pumping, but not as efficiently as a healthy heart. Usually, the heart's diminished capacity to pump reflects a progressive, underlying condition.

What causes heart failure?

Heart failure may result from any or all of the following:

  • Heart valve disease caused by past rheumatic fever or other infections

  • High blood pressure (hypertension)

  • Active infections of the heart valves and/or heart muscle (for example, endocarditis or myocarditis)

  • Previous heart attack(s) (myocardial infarction). Scar tissue from prior damage may interfere with the heart muscle's ability to pump normally.

  • Coronary artery disease. Narrowing of the arteries that supply blood to the heart muscle.

  • Cardiomyopathy or another primary disease of the heart muscle

  • Congenital heart disease or defects (present at birth)

  • Cardiac arrhythmias (irregular heartbeats)

  • Chronic lung disease and pulmonary embolism

  • Certain medications

  • Excessive sodium (salt) intake

  • Anemia and excessive blood loss

  • Complications of diabetes

How does heart failure affect the body?

Heart failure interferes with the kidney's normal function of eliminating excess sodium and waste products from the body. In congestive heart failure, the body retains more fluid, resulting in swelling of the ankles and legs. Fluid also collects in the lungs, which can cause profound shortness of breath.

What are the symptoms of heart failure?

The following are the most common symptoms of heart failure. However, each individual may experience symptoms differently. Symptoms may include:

  • Shortness of breath during rest, exercise, or while lying flat

  • Weight gain

  • Visible swelling of the legs and ankles (due to a buildup of fluid), and, occasionally, swelling of the abdomen

  • Fatigue and weakness

  • Loss of appetite, nausea, and abdominal pain

  • Persistent cough that can cause blood-tinged sputum

The severity of the condition and symptoms depends on how much of the heart's pumping capacity has been compromised.

The symptoms of heart failure may resemble other conditions or medical problems. Always consult your health care provider for a diagnosis.

How is heart failure diagnosed?

In addition to a complete medical history and physical examination, diagnostic procedures for heart failure may include any, or a combination of, the following:

  • Chest X-ray. A diagnostic test that uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.

  • Echocardiogram (also called echo). A noninvasive test that uses sound waves to evaluate the motion of the heart's chambers and valves. The echo sound waves create an image on the monitor as an ultrasound transducer is passed over the heart.

  • Electrocardiogram (ECG or EKG). A test that records the electrical activity of the heart, shows abnormal rhythms (arrhythmias or dysrhythmias), and can sometimes detect heart muscle damage.

  • BNP testing. B-type natriuretic peptide (BNP) is a hormone released from the ventricles in response to increased wall tension (stress) that occurs with heart failure. BNP levels rise as wall stress increases. BNP levels are useful in the rapid evaluation of heart failure. In general, the higher the BNP levels, the worse the heart failure.

Treatment for heart failure

Specific treatment for heart failure will be determined by your health care provider based on:

  • Your age, overall health, and medical history

  • Extent of the disease

  • Your tolerance for specific medications, procedures, or therapies

  • Expectations for the course of the disease

  • Your opinion or preference

The cause of the heart failure will dictate the treatment protocol established. If the heart failure is caused by a valve disorder, then surgery may be performed. If the heart failure is caused by a disease, such as anemia, then the underlying disease will be treated. Although there is no cure for heart failure due to damaged heart muscle, many forms of treatment have been used to treat symptoms very effectively.

The goal of treatment is to improve a person's quality of life by making the appropriate lifestyle changes and implementing drug therapy.

Treatment of heart failure may include:

  • Controlling risk factors:

    • Quitting smoking

    • Losing weight (if overweight) and increasing moderate exercise

    • Restrict salt and fat from the diet

    • Avoiding alcohol

    • Proper rest

    • Controlling blood sugar if diabetic

    • Controlling blood pressure

    • Limiting fluids

  • Medication, such as:

    • Angiotensin converting enzyme (ACE) inhibitors. This medication decreases the pressure inside the blood vessels and reduces the resistance against which the heart pumps.

    • Angiotensin receptor blockers (ARB). This is alternative medication for reducing workload on the heart if ACE inhibitors are not tolerated.

    • Diuretics. These reduce the amount of fluid in the body.

    • Vasodilators. These dilate the blood vessels and reduce workload on the heart.

    • Digitalis. This medication helps the heart beat stronger with a more regular rhythm. 

    • Antiarrhythmia medications. These help maintain normal heart rhythm and help prevent sudden cardiac death.

    • Beta-blockers. These reduce the heart's tendency to beat faster and reduce workload by blocking specific receptors on heart cells.

    • Aldosterone blockers. Medication that blocks the effects of the hormone aldosterone which causes sodium and water retention.

  • Biventricular pacing/cardiac resynchronization therapy. A new type of pacemaker that paces both pumping chambers of the heart simultaneously to coordinate contractions and to improve the heart's function. Some heart failure patients are candidates for this therapy.

  • Implantable cardioverter defibrillator. A device similar to a pacemaker that senses when the heart is beating too fast and delivers an electrical shock to convert the fast rhythm to a normal rhythm.

  • Heart transplantation

  • Ventricular assist devices (VADs). These are mechanical devices used to take over the pumping function for one or both of the heart's ventricles, or pumping chambers. A VAD may be necessary when heart failure progresses to the point that medications and other treatments are no longer effective. 

Cardiothoracic Surgeons

David A. Bull, M.D.

David Bull, MD, is a member of the Thoracic Oncology Program, a joint effort between Huntsman Cancer Institute and the University of Utah Hospitals and Clinics. The program was developed to offer consultation, diagnosis, and treatment for all chest cancers. Bull is a professor in the Department of Surgery, Divis... Read More

Specialties:

Cardiac Mechanical Support, Cardiothoracic Surgery, Coronary Revascularization, Esophageal Surgery, Heart Transplant, Lung Cancer, Lung Transplant, Valvular Heart Disease

Locations:

South Jordan Health Center (801) 213-4500
University Hospital (801) 581-5311

Phillip T. Burch, M.D.

Dr. Burch performs repairs for a wide variety of congenital cardaic anomalies. In additon to clinical responsibilities, Dr. Burch has research interests in single ventricle physiology as well as in derangements in normal neonatal metabolism caused by cardiac surgery.... Read More

Specialties:

Cardiothoracic Surgery, Pediatric Cardiothoracic Surgery

Locations:

Primary Children's Hospital (801) 662-5577

Aaron W. Eckhauser, M.D., M.S.C.I

I joined the University of Utah, Division of Pediatric Cardiothoracic Surgery in 2012. I am board certified by the American Board of Surgery and the American Board of Thoracic Surgery. My clinical interests are focused on caring for all patients, from neonates to adults, with congenital heart defects. I have ... Read More

Specialties:

Cardiac Mechanical Support, Cardiothoracic Surgery, Heart Transplant, Pediatric Cardiothoracic Surgery

Locations:

A location has not yet been added by this physician.

Specialties:

Cardiothoracic Surgery

Locations:

A location has not yet been added by this physician.

Specialties:

Cardiothoracic Surgery

Locations:

A location has not yet been added by this physician.

Ganesh S. Kumpati, M.D.

Dr Kumpati performs adult cardiac surgery, thoracic surgery, and vascular surgery. Dr Kumpati has significant experience in both surgical and endovascular management of aortic disease, including endovascular aneurysm repair. Prior to joining the University of Utah in August 2011, Dr Kumpati was in private prac... Read More

Specialties:

Cardiothoracic Surgery

Locations:

University Hospital (801) 581-5311
Veterans Administration Medical Center (801) 582-1565

Stephen McKellar, M.D., M.Sc.

Dr. McKellar is a native of Salt Lake City and received his Bachelor of Arts from the University of Utah and his Doctor of Medicine from the George Washington University School of Medicine. He completed his General Surgical and Cardiothoracic Surgical training at the Mayo Clinic in Rochester, Minnesota in a com... Read More

Specialties:

Cardiac Mechanical Support, Cardiothoracic Surgery, Coronary Revascularization, Heart Failure, Heart Transplant, Lung Transplant, Minimally Invasive Heart Surgery, Minimally Invasive Lung & Esophageal Surgery, Valvular Heart Disease

Locations:

A location has not yet been added by this physician.

Amit N. Patel, M.D.

Amit Patel, MD, MS, is an associate professor in the Division of Cardiothoracic Surgery at the University of Utah School of Medicine and Director of Clinical Regenerative Medicine and Tissue Engineering at the University of Utah. His clinical interests include heart surgery for coronary disease, valve repair and... Read More

Specialties:

Cardiothoracic Surgery, Heart Failure, Heart Stem Cell Therapy, Heart Transplant, Lung Transplant, Valvular Heart Disease

Locations:

University Hospital (801) 587-7946

Craig H. Selzman, M.D.

Dr. Craig Selzman is an Associate Professor of Surgery in the Division of Cardiothoracic Surgery at the University of Utah who specializes in the care of patients requiring heart surgery. He earned his undergraduate degree at Amherst College and medical degree at Baylor College of Medicine. He received his Gener... Read More

Specialties:

Adult Congenital Heart Disease, Cardiac Mechanical Support, Cardiothoracic Surgery, Coronary Revascularization, Heart Failure, Heart Stem Cell Therapy, Heart Transplant, Lung Transplant, Minimally Invasive Heart Surgery, Surgical Ventricular Restoration, Valvular Heart Disease

Locations:

University Hospital (801) 587-9348

Specialties:

Cardiothoracic Surgery, Nurse Practitioner

Locations:

Eccles Primary Children’s Outpatient Services Building (801) 662-1000
University Hospital (801) 581-0434

Specialties:

Cardiothoracic Surgery, Physician Assistant

Locations:

A location has not yet been added by this physician.

Terri M. Hancock, DNP, ACNP-BC

Terri Hancock, DNP, ACNP-BC, is a board certified Acute Care Nurse Practitioner with the Division of Cardiothoracic Surgery at the University of Utah. As a Cardiothoracic Surgery Nurse Practitioner, Terri is interested in evaluating and improving the overall quality of care and clinical efficiency of cardiac and... Read More

Specialties:

Acute Care Nurse Practitioner, Cardiothoracic Surgery

Locations:

University Hospital (801) 581-5311

Specialties:

Cardiothoracic Surgery, Physician Assistant

Locations:

University Hospital (801) 231-2200

Specialties:

Cardiothoracic Surgery

Locations:

A location has not yet been added by this physician.

Nathan C. Sontum, PA-C, M.H.S.

PA-C for department of CT surgery 2010-Present... Read More

Specialties:

Cardiothoracic Surgery

Locations:

A location has not yet been added by this physician.

Scott A. Tatum, PA-C

Scott came to the University over 6 years ago from private practice. As a trainer and consultant for Endoscopic Vein harvesting, he has effectively introduced and incorporated new technology and procedures into the University healthcare system. As the senior physician assistant in the division of cardiothoraci... Read More

Specialties:

Cardiothoracic Surgery, Physician Assistant

Locations:

University Hospital (801) 581-2121

Locations

University Campus
University Hospital
50 N Medical Drive
Salt Lake City, UT 84132
Map
(801) 581-2121
Primary Children's Hospital
100 N Mario Capecchi Dr
Salt Lake City, UT 84132
(801) 662-1000
Veterans Administration Medical Center
500 Foothill Drive
Salt Lake City, UT 84148
(801) 582-1565