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Right Heart Dysfunction 

Right Heart Dysfunction
Chapter:
Right Heart Dysfunction
Author(s):

Renee L. Kursel O’Brien

DOI:
10.1093/med/9780190909291.003.0038
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date: 26 May 2020

Right ventricular failure (RVF) is the Achilles heel in determining the success or failure of treating patients with congestive heart failure with use of an LVAD alone. The rate of RVF following LVAD implantation ranges from 10%–40% and when present impacts the survival significantly. Efforts to optimize the hemodynamics preoperatively, coupled with efficient and precise surgical techniques during implantation, can reduce the rate of RVF. Overall survival is improved with early recognition of need for RV support and immediate institution of a temporary RVAD, rather than delaying until signs of multi-organ failure appear.

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