Current Heart Failure Reports

, Volume 8, Issue 1, pp 65–71

Management of Right Ventricular Failure in the Era of Ventricular Assist Device Therapy


    • Division of CardiologyMedical University of South Carolina

DOI: 10.1007/s11897-010-0043-3

Cite this article as:
Craig, M.L. Curr Heart Fail Rep (2011) 8: 65. doi:10.1007/s11897-010-0043-3


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.


Congestive heart failureRight ventricular failureLeft ventricular assist deviceRight ventricular assist deviceBiventricular assist deviceDestination therapyBridge-to-transplantation

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© Springer Science+Business Media, LLC 2011