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Right ventricular failure after thoracotomy left ventricular assist device; the role of pericardial restraint

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Despite improvements in left ventricular assist device (LVAD) technology, survival rates have remained stagnant over the past decade. 1 – 6 Adverse events continue to impede wider expansion of this… Click to show full abstract

Despite improvements in left ventricular assist device (LVAD) technology, survival rates have remained stagnant over the past decade. 1 – 6 Adverse events continue to impede wider expansion of this life ‐ saving therapy. 1 Right ventricular failure (RVF) post ‐ LVAD, in particular, portends very poor outcomes, 1,7 – 11 with right ventricular assist device (RVAD) requirement associated with a threefold to fourfold increase in mortality. 1 Management of RVF focuses on preoperative risk assessment and patient selection, postoperative inotropic and pulmonary vasodilator support, and RVAD implantation in severe cases. Methods to mitigate against its occurrence are lacking. 7 – 13 may through

Keywords: ventricular assist; ventricular failure; right ventricular; assist device; left ventricular

Journal Title: Journal of Cardiac Surgery
Year Published: 2022

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