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Preoperative Evaluation of Right Ventricular Function

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Mechanical Circulatory Support in End-Stage Heart Failure

Abstract

Left ventricular assist devices (LVADs) are safer and provide better quality of life than biventricular assist devices (BVADs), but end-stage heart failure (HF) often involves both ventricles, even if left-sided heart disease was its initial cause. Although LVADs can facilitate RV improvement, severe right ventricular failure (RVF) can persist after LVAD implantation inducing high risks for death even if LVAD implantation is later followed by additional RV assist device (RVAD) implantation. The incidence of RVF requiring a RVAD after LVAD implantation is ~10% [1, 2]. Thus, it is crucial to identify preoperatively or at latest intraoperatively those patients who definitely need a BVAD. The decision between LVAD and BVAD is challenging and involves many clinical, hemodynamic, biochemical, and echocardiographic criteria [3]. Preoperative evaluation of RV function is a cornerstone for that decision making.

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Author information

Authors and Affiliations

  1. Deutsches Herzzentrum, Department of Cardiothoracic and Vascular Surgery, Berlin, Germany

    Michael Dandel MD, PhD & Evgenij V. Potapov MD

  2. Kaufman Center for Heart Failure, Cleveland Clinic, Cleveland, OH, USA

    Nader Moazami MD

Authors
  1. Michael Dandel MD, PhD
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  2. Evgenij V. Potapov MD
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  3. Nader Moazami MD
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Corresponding author

Correspondence to Michael Dandel MD, PhD .

Editor information

Editors and Affiliations

  1. San Camillo-Forlanini Hospital, Rome, Italy

    Andrea Montalto

  2. Cardiac Surgery, S.Orsola-Malpighi Hospital, Bologna, Italy

    Antonio Loforte

  3. San Camillo-Forlanini Hospital, Rome, Italy

    Francesco Musumeci

  4. Deutsches Herzzentrum Berlin, Berlin, Germany

    Thomas Krabatsch

  5. Department of Cardiovascular and Thoracic Surgery, University of Louisville, Louisville, Kentucky, USA

    Mark S. Slaughter

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© 2017 Springer International Publishing Switzerland

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Dandel, M., Potapov, E.V., Moazami, N. (2017). Preoperative Evaluation of Right Ventricular Function. In: Montalto, A., Loforte, A., Musumeci, F., Krabatsch, T., Slaughter, M. (eds) Mechanical Circulatory Support in End-Stage Heart Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-43383-7_6

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  • DOI: https://doi.org/10.1007/978-3-319-43383-7_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43381-3

  • Online ISBN: 978-3-319-43383-7

  • eBook Packages: MedicineMedicine (R0)

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