AI Article Synopsis
- The rise in advanced heart failure cases and the shortage of donor hearts have made left ventricular assist devices (LVADs) a popular choice for treating end-stage heart failure.
- Right ventricular failure (RVF) often occurs during LVAD surgery, leading to serious health issues and higher death rates.
- This review covers the causes of RVF, approaches to evaluate patient risk before surgery, and management strategies before, during, and after the operation.
Article Abstract
The increasing incidence of patients with advanced heart failure, limited donor availability, and continued advancements in the field of mechanical circulatory support have made implantation of left ventricular assist device therapy (LVAD) an attractive option for patients with end-stage heart failure. Perioperative right ventricular failure (RVF) occurs frequently in patients undergoing LVAD implantation and is associated with significant morbidity and mortality. This review will discuss the pathophysiology of RVF, recent efforts to risk-stratify patients preoperatively, and current preoperative, perioperative, and postoperative management strategies.
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| http://dx.doi.org/10.1007/s11897-010-0043-3 | DOI Listing |
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