When the Right Ventricle Fails after Left Ventricular Assist Device Implantation: Prediction Tools, Recognition Strategies, and Support Options

Authors

Juan Jose Rodriguez Arias, Toronto General Hospital Research Institute, University Health Network, Toronto, Canada.Follow
James Schurr, University of PennsylvaniaFollow
Phyllis Billia, Toronto General Hospital Research Institute, University Health Network, Toronto, Canada.Follow
Joyce W. Wald, University of PennsylvaniaFollow

Abstract

The incidence of right heart failure (RHF) during durable left ventricular assist device (LVAD) surgery ranges from 9% to 42%, depending on the definition. RHF can be divided into three peri-implantation categories: early acute, early, and late. Despite many available risk models, predicting RHF before durable LVAD implantation has been difficult. Preemptive right-sided temporary mechanical circulatory support can improve outcomes; however, if intraoperative RHF is not suspected, early recognition and appropriate intervention after surgery are important.

Recommended Citation

Rodriguez Arias, Juan Jose; Schurr, James; Billia, Phyllis; and Wald, Joyce W. (2025) "When the Right Ventricle Fails after Left Ventricular Assist Device Implantation: Prediction Tools, Recognition Strategies, and Support Options," Journal of Shock and Hemodynamics: Vol. 2(2) DOI: https://doi.org/10.58464/2836-0605.1058

Available at: https://digitalcommons.library.tmc.edu/josh/vol2/iss2/1