Arrhythmogenic right ventricular cardiomyopathy: use of a left ventricular assist device as a bridge to transplantation?

2013 ◽  
Vol 16 (4) ◽  
pp. 498-500 ◽  
Author(s):  
Hani N. Mufti ◽  
Miroslaw Rajda ◽  
Jean-Francois Legare
Author(s):  
Jennifer M Elia ◽  
◽  
Karen H Katrivesis ◽  
Ali A Naqvi ◽  
Fabio M Sagebin ◽  
...  

Right Ventricular (RV) dysfunction is a common complication seen in 20-50% of patients after Left-Ventricular Assist Device (LVAD) implantation. Although prediction models exist, it is challenging to prevent RV dysfunction and even more difficult to manage. Early recognition is crucial to determine the appropriate pharmacological therapies and decide if implementation of Mechanical Circulatory Support (MCS) is needed. Here, we present a case of RV dysfunction precipitated unexpectedly by a bradycardic episode. The RV dysfunction was refractory to traditional therapies but was successfully managed with right-sided MCS.


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