Thanks to our wonderful surgeons and our heart failure group The Cleveland Clinic has one of the vastest experiences in this procedure. However there are there are many questions that need to be answered. Secondly and more importantly not all patients seem to do well with this procedure and The Cleveland Clinic is still striving to find the clinical profile of the patients who are destined to do well. In our experience so far we have seen that a third tend to significantly improve from a clinical standpoint, a third remain the same and a third having their disease progress with some going on to left ventricular assist devices and cardiac transplantation. It is this point that makes it so important that this procedure is only attempted at centers where these facilities of cardiac transplantation and assist devices are readily available.
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