Right Ventricular Failure After Left Ventricular Assist Device

Rebecca Cogswell; Ranjit John; Andrew Shaffer

doi:10.1016/j.ccl.2020.01.007

Right Ventricular Failure After Left Ventricular Assist Device

Cardiol Clin. 2020 May;38(2):219-225. doi: 10.1016/j.ccl.2020.01.007.

Authors

Rebecca Cogswell¹, Ranjit John², Andrew Shaffer²

Affiliations

¹ Department of Medicine, Division of Cardiology, University of Minnesota, Variety Club Research Center (VCRC), 401 E. River Parkway, Minneapolis, MN 55455, USA. Electronic address: [email protected].
² Department of Surgery, Division of Cardiothoracic Surgery, University of Minnesota, 425 E River Parkway, 347, Minneapolis, MN 55455, USA.

PMID: 32284098
DOI: 10.1016/j.ccl.2020.01.007

Abstract

Right ventricular failure after left ventricular assist device (LVAD) implantation remains common in the contemporary, continuous-flow era. Clinically meaningful, reproducible, and consensus definitions of both early and late right ventricular failure after LVAD are needed for progress in advanced heart failure. Right ventricular failure after LVAD implantation and post-LVAD vasoplegia share similar risk factors and physiology. The relative right ventricular failure that accompanies right ventricular vasoplegia can be treated with temporary right ventricular assist device support.

Keywords: Heart failure; Right ventricular function; Ventricular assist devices.

Publication types

Review

MeSH terms

Heart Failure / etiology*
Heart Failure / physiopathology
Heart Ventricles / physiopathology*
Heart-Assist Devices / adverse effects*
Humans
Risk Factors
Ventricular Dysfunction, Right / physiopathology
Ventricular Dysfunction, Right / therapy*
Ventricular Function, Right / physiology*