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Post-Transplant Right Ventricular Failure

  • Marshall T. Bell
  • David A. FullertonEmail author
Chapter
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY)

Abstract

The right ventricle is particularly vulnerable to acute failure during cardiac transplantation, and post-transplant right ventricular failure is associated with significant perioperative morbidity and mortality. But provided that early recognition and aggressive treatment is initiated, such right ventricular failure has a relatively high rate of recovery. Such treatment requires multimodal therapy including optimization of preload, ionotropic support, afterload reduction and if necessary, mechanical circulatory support.

Keywords

Cardiac surgery Transplantation Right ventricular dysfunction/failure 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.The Division of Cardiothoracic SurgeryUniversity of Colorado School of MedicineAuroraUSA

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