Right heart failure after left ventricular assist device implantation: a persistent problem.
Indian J Thorac Cardiovasc Surg
; 39(Suppl 1): 161-169, 2023 Jul.
Article
in En
| MEDLINE
| ID: mdl-37525713
ABSTRACT
Left ventricular assist device (LVAD) is an option for bridge-to-transplant or destination therapy for patients with end-stage heart failure. Right heart failure (RHF) remains a complication after LVAD implantation that portends high morbidity and mortality, despite advances in LVAD technology. Definitions of RHF vary, but generally include the need for inotropic or pulmonary vasodilator support, or potential right ventricular (RV) mechanical circulatory support. This review covers the complex pathophysiology of RHF related to underlying myocardial dysfunction, interventricular dependence, and RV afterload, as well as treatment strategies to curtail this challenging problem.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Indian J Thorac Cardiovasc Surg
Year:
2023
Document type:
Article