Right heart failure post left ventricular assist device implantation

作者: Kosmas Tsakiridis , Christos Charitos , Nikolaos Katsikogiannis , Ioanna Kougioumtzi , Orestis Argiriou

DOI: 10.3978/J.ISSN.2072-1439.2013.10.26

关键词:

摘要: Right heart failure (RHF) is a frequent complication following left ventricular assist device (LVAD) implantation. The incidence of RHF complicates 20-50% (range, 9-44%) cases and major factor postoperative morbidity mortality. Unfortunately, despite the fact that many risk factors contributing to development after LVAD implantation have been identified, it seems be extremely difficult avoid them. Prevention consists management preload afterload right ventricle with optimum inotropic support. administration vasodilators designed reduce pulmonary vascular resistance standard practice in most centers. surgical attempt does not always resolve problem available all cardiac surgery

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