Article

Current Heart Failure Reports

, Volume 8, Issue 1, pp 65-71

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

  • Michael L. CraigAffiliated withDivision of Cardiology, Medical University of South Carolina Email author 

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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.

Keywords

Congestive heart failure Right ventricular failure Left ventricular assist device Right ventricular assist device Biventricular assist device Destination therapy Bridge-to-transplantation