Right heart failure after left ventricular assist device implantation: a persistent problem

Chesney Siems, Rishav Aggarwal, Andrew Shaffer, Ranjit John

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

Left ventricular assist device (LVAD) is an option for bridge-to-transplant or destination therapy for patients with end-stage heart failure. Right heart failure (RHF) remains a complication after LVAD implantation that portends high morbidity and mortality, despite advances in LVAD technology. Definitions of RHF vary, but generally include the need for inotropic or pulmonary vasodilator support, or potential right ventricular (RV) mechanical circulatory support. This review covers the complex pathophysiology of RHF related to underlying myocardial dysfunction, interventricular dependence, and RV afterload, as well as treatment strategies to curtail this challenging problem.

Original languageEnglish (US)
Pages (from-to)161-169
Number of pages9
JournalIndian Journal of Thoracic and Cardiovascular Surgery
Volume39
DOIs
StatePublished - Jul 2023

Bibliographical note

Publisher Copyright:
© 2023, Indian Association of Cardiovascular-Thoracic Surgeons.

Keywords

  • Adult cardiac
  • Left ventricular assist device
  • Mechanical circulatory support
  • Right heart failure

PubMed: MeSH publication types

  • Journal Article
  • Review

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