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Right Ventricular Failure: Pathophysiology and Treatment

Surgical Clinics of North America, 1985
The cardiac surgeon is faced with RV failure in two main situations: in isolation or in patients with left-sided cardiac assist. Adequate volume loading, correction of acidosis and oxygenation, cardiac pacing, pharmacologic agents, and systemic intra-aortic balloon pumping allow stabilization in most of these patients.
Tomas A. Salerno   +2 more
openaire   +3 more sources

Less invasive left ventricular assist device implantation may reduce right ventricular failure.

Interactive Cardiovascular and Thoracic Surgery, 2019
OBJECTIVES Right ventricular (RV) failure after left ventricular assist device (LVAD) implantation continues to be a morbid complication. In this study, we hypothesized that a less invasive approach to implantation would preserve RV function relative to ...
C. Pasrija   +11 more
semanticscholar   +1 more source

Right Ventricular Failure After Left Ventricular Assist Device Placement-The Beginning of the End or Just Another Challenge?

Journal of Cardiothoracic and Vascular Anesthesia, 2019
Left ventricular assist device (LVAD) therapy has greatly improved outcomes in patients with end-stage heart failure. However, development of right ventricular failure (RVF) in LVAD recipients is associated with increased long- and short-term morbidity ...
Katja Turner
semanticscholar   +1 more source

Right Ventricular Assist Devices and the Surgical Treatment of Right Ventricular Failure

Cardiology Clinics, 1992
Treatment of patients with severe right ventricular dysfunction follows a continuum of progressive therapies. If optimization of volume status and inotropic support do not adequately improve right ventricular function, higher levels of mechanical circulatory support are required.
John A. Elefteriades   +1 more
openaire   +3 more sources

Isolated right ventricular unloading for postcardiotomy right ventricular failure in a child

European Journal of Cardio-Thoracic Surgery, 1995
Severe right ventricular (RV) failure after total correction of double outlet RV (DORV) with pulmonary atresia was completely reversed with extracorporeal mechanical RV unloading in a 2.5-year-old child. The patient could be weaned after 168 h of RV assist device (RVAD) support using a centrifugal Bio-Medicus pump and was discharged from the hospital ...
Willem Flameng   +3 more
openaire   +3 more sources

Impella RP in the Treatment of Right Ventricular Failure: What We Know and Where We Go.

Journal of Cardiothoracic and Vascular Anesthesia, 2018
Temporary mechanical circulatory support devices for the treatment of acute right ventricular failure represent crucial tools for clinical practice. Right ventricular failure presents specific treatment issues, and dedicated percutaneous devices are less
M. Pieri, F. Pappalardo
semanticscholar   +1 more source

Acute Right Ventricular Failure

2014
Acute right ventricular (RV) failure is a devastating syndrome caused by a variety of common diseases and conditions. Acute RV failure is caused by acute alterations in preload, afterload, and/or contractility. Ventricular interdependence and decreases in perfusion pressure make the RV particularly prone to acute failure.
Jeffrey A. Kline   +2 more
openaire   +2 more sources

Calculation of the ALMA Risk of Right Ventricular Failure After Left Ventricular Assist Device Implantation

ASAIO journal (1992), 2018
Right ventricular failure after continuous-flow left ventricular assist device (LVAD) implantation is still an unsolved issue and remains a life-threatening event for patients.
A. Loforte   +9 more
semanticscholar   +1 more source

Assessment and treatment of right ventricular failure

Nature Reviews Cardiology, 2013
Right ventricular (RV) failure is a complex problem with poor outcomes. Diagnosis requires a high degree of clinical suspicion, because many of the signs and symptoms of this condition are nonspecific and can be acute or chronic. Identification of the underlying aetiology, which can include pulmonary hypertension, cardiomyopathy, myocardial infarction,
openaire   +3 more sources

Management of Acute Right Ventricular Failure

Journal of Cardiac Surgery, 1990
The thin-walled right ventricle compensates poorly for any increase in afterload, and its output abruptly decreases with small elevations in pulmonary vascular resistance. In patients who have acute right ventricular (RV) dysfunction following bypass, it is, therefore, important to maintain pulmonary vascular resistance at normal or reduced levels. The
openaire   +3 more sources

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