Abstract
Left ventricular assist devices are currently implanted using three different techniques [1]:
-
Median sternotomy with cardiopulmonary bypass (CPB).
-
Left posterolateral thoracotomy with the outflow graft connected to the descending aorta with or without CPB. This approach is more frequently used in case of reoperations to avoid re-sternotomy.
-
Minimally invasive left mini-thoracotomy (with or without CPB).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Krabatsch T et al (2014) Different strategies for implantation of continuous-flow VADs- experience from Deutsches Herzzentrum Berlin. Ann Cardiothorac Surg 3(5):472–474
Levy JH, Tanaka KA (2003) Inflammatory response to cardiopulmonary bypass. Ann Thorac Surg 75:715–720
Lahm T et al (2010) Medical and surgical treatment of acute right ventricular failure. Am Coll Cardiol 56(18):1435–1446
Chen JM et al (2000) Management of perioperative right-sided circulatory failure. Cardiac Assist Devices 83-101
Kormos RL et al (2010) Right ventricular failure in patients with the HeartMate II continuous-flow left ventricular assist device: incidence, risk factors, and effect on outcomes. J Thorac Cardiovasc Surg 139:1316–1324
Shapiro GC et al (1995) Diagnosis of patent foramen ovale with transesophageal echocardiography in a patient supported with a left ventricular assist device. J Heart Lung Transplant 14:594–597
Benk C et al (2013) Effect of cannula position in the thoracic aorta with continuous left ventricular support: four-dimensional flow-sensitive magnetic resonance imaging in an in vitro model. Eur J Cardiothorac Surg 44(3):551–558
Kato TS et al (2012) Usefulness of two-dimensional echocardiographic parameters of the left side of the heart to predict right ventricular failure after left ventricular assist device implantation. Am J Cardiol 109:246–251
Anastasiadis K et al (2011) Use of minimal extracorporeal circulation circuit for left ventricular assist device implantation. ASAIO J 57(6):547–549
Lebretone G et al (2011) Implantation of left ventricular support under extracorporeal membrane oxygenation. Eur J Cardiothorac Surg 40:e165–e167
Leyvi G et al (2005) Transient right ventricular failure and transient weakness: a TEE diagnosis. J Cardiothorac Vasc Anesth 19:406–408
Tingleff J et al (1995) Intraoperative echocardiographic study of air embolism during cardiac operations. Ann Thorac Surg 60:673–677
Meineri M et al (2012) Right ventricular failure after LVAD implantation: prevention and treatment. Best Pract Res Clin Anaesthesiol 26:217–229
Holdy K et al (2005) Nutrition assessment and management of left ventricular assist device patients. J Heart Lung Transplant 24(10):1690–1696
Kaplon RJ et al (1999) Vitamin K reduces bleeding in left ventricular assist device recipients. J Heart Lung Transplant 18:346–350
Jardin F et al (2003) Right ventricular function and positive pressure ventilation in clinical practice: from hemodynamic subsets to respirator settings. Intensive Care Med 29:1426–1434
The Acute Respiratory Distress Syndrome Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342:1301–1308
Apostolakis E et al (2010) Strategies to prevent intraoperative lung injury during cardiopulmonary bypass. J Cardiothorac Surg 5:1–9
Francisco I, Macedo B et al (2013) Lung perfusion and ventilation during implantation of left ventricular assist device as a strategy to avoid postoperative pulmonary complications and right ventricular failure. Interact Cardiovasc Thorac Surg 17:764–766
Estep JD et al (2010) The role of echocardiography and other imaging modalities in patients with left ventricular assist devices. JACC Cardiovasc Imaging 3:1049–1064
Maeder MT et al (2009) Changes in right ventricular function during continuous-flow left ventricular assist device support corrected. J Heart Lung Transplant 28:360–366
Haneya A et al (2012) Temporary percutaneous right ventricular support using a centrifugal pump in patients with postoperative acute refractory right ventricular failure after left ventricular assist device implantation. Eur J Cardiothorac Surg 41:219–223
Matthews JC et al (2008) The right ventricular failure risk score a pre-operative tool for assessing the risk of right ventricular failure in left ventricular assist device candidates. J Am Coll Cardiol 51(22):2163–2172
Potapov E et al (2011) Inhaled nitric oxide after left ventricular assist device implantation: a prospective, randomized, doubleblind, multicenter, placebo-controlled trial. J Heart Lung Transplant 30:870–878
Garan AR et al (2015) Early post-operative ventricular arrhythmias in patients with continuous-flow left ventricular assist devices. J Heart Lung Transplant 34(12):1611–1616
Sakuma M et al (2002) Right ventricular ejection function assessed by cineangiography – Importance of bellows action. Circ J 66(6):605–609
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Attisani, M., Centofanti, P., Rinaldi, M. (2017). Intraoperative Right Ventricular Failure Management. In: Montalto, A., Loforte, A., Musumeci, F., Krabatsch, T., Slaughter, M. (eds) Mechanical Circulatory Support in End-Stage Heart Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-43383-7_19
Download citation
DOI: https://doi.org/10.1007/978-3-319-43383-7_19
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-43381-3
Online ISBN: 978-3-319-43383-7
eBook Packages: MedicineMedicine (R0)