Right heart failure post left ventricular assist device implantation

被引：171

作者：

Argiriou, Mihalis ^{[1
]}

Kolokotron, Styliani-Maria ^{[1
]}

Sakellaridis, Timothy ^{[1
]}

Argiriou, Orestis ^{[2
]}

Charitos, Christos ^{[1
]}

Zarogoulidis, Paul ^{[3
]}

Katsikogiannis, Nikolaos ^{[4
]}

Kougioumtzi, Ioanna ^{[4
]}

Machairiotis, Nikolaos ^{[4
]}

Tsiouda, Theodora ^{[5
]}

Tsakiridis, Kosmas ^{[6
]}

Zarogoulidis, Konstantinos ^{[3
]}

机构：

[1] Evangelismos Med Ctr, Dept Cardiac Surg 2, Transplantat Unit, Athens, Greece

[2] Univ Ioannina, Sch Med, GR-45110 Ioannina, Greece

[3] Aristotle Univ Thessaloniki, G Papanikolaou Gen Hosp, Dept Pulm, Oncol Unit, GR-54006 Thessaloniki, Greece

[4] Univ Gen Hosp Alexandroupolis, Dept Surg, NHS, Alexandroupolis, Greece

[5] Theageneio Anticanc Hosp, Dept Internal Med, Thessaloniki, Greece

[6] St Luke Private Hosp, Dept Cardiothorac Surg, Thessaloniki, Greece

来源：

JOURNAL OF THORACIC DISEASE | 2014年 / 6卷

关键词：

Right heart failure (RHF); assist device; preload; afterload; MECHANICAL CIRCULATORY SUPPORT; ECHOCARDIOGRAPHIC PARAMETERS; NITRIC-OXIDE; RISK SCORE; RECIPIENTS; INTERMACS; OUTCOMES; IMPACT;

D O I：

10.3978/j.issn.2072-1439.2013.10.26

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

100201 [内科学];

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

引用

页码：S52 / S59

页数：8

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