scholarly journals Right ventricular failure after cardiac surgery: Why can't right ventricular assist device support fix the problem?

2018 ◽  
Vol 156 (5) ◽  
pp. 1881-1882
Author(s):  
Francis D. Pagani
2012 ◽  
Vol 23 (1) ◽  
pp. 86-90 ◽  
Author(s):  
Mark Puhlman

Left ventricular assist devices (LVADs) have become accepted as treatment for heart failure as a result of improvements in diagnosing and treating left ventricular failure and limited donor availability. In the Pivotal Study of the HeartMate II in the bridge to transplantation population, the incidence of right ventricular failure without the implantation of a right ventricular assist device was 14%, with an additional 6% of the participants ill enough that they required implantation of a right ventricular assist device. This complication increases mortality, cost, and length of stay. This article reviews the screening of LVAD candidates for the probability of right ventricular failure postoperatively, the evaluation of right ventricular function in LVAD candidates, and the optimal management of the right ventricle during the perioperative care of LVAD patients.


2015 ◽  
Vol 42 (6) ◽  
pp. 540-542 ◽  
Author(s):  
Pankaj Saxena ◽  
Silvana F. Marasco

Right ventricular failure can occur early or late after left ventricular assist device implantation. Support with a right ventricular assist device is needed in patients whose right ventricular failure does not respond to conservative management. The use of a temporary right ventricular assist device can enable the recovery of right ventricular function and avoid the use of a more permanent biventricular assist device, which is associated with complications and higher costs. We present our technique of instituting temporary right ventricular assist device support in patients who have undergone left ventricular assist device implantation.


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