Steven Nissen, MD, Chairman of the Robert and Suzanne Tomsich Department of Cardiovascular Medicine at Cleveland Clinic talks with Dr. Jerry Estep MD, Section Head, Heart Failure and Transplantation and Edward Soltesz, MD, Surgical Director of the Kaufman Center for Heart Failure and Recovery about innovations in heart failure surgery, including changes in LVAD therapy and heart transplant making an impact on patient outcomes, when patients should be referred for advanced heart failure therapy, LVAD back-up strategies for traditional cardiac surgery, the newest medications and when to prescribe, and the new technologies for pulmonary pressure monitoring.