Subscribe to RSS
DOI: 10.1055/s-2002-33103
© Georg Thieme Verlag Stuttgart · New York
When Should We Consider Right Ventricular Support?
Publication History
Publication Date:
07 August 2002 (online)
Abstract
Ventricular assist systems have become an important tool in the surgical management of acute and chronic heart failure. While indications for left ventricular support ar e well established, criteria for right ventricular support are much less defined. This report summarizes current knowledge on the implantation of right ventricular support in clinical settings of isolated right heart failure, biventricular failure, postcardiotomy failure and post-LVAD right heart failure.
Key words
Right heart failure - Mechanical assist - LVAD - ECMO
References
- 1 Chen J M, Levin H R, Rose E A. et al . Experience with right ventricular assist devices for perioperative right-sided circulatory failure. Ann Thorac Surg. 1996; 61 305-310
- 2 Mehta M S, Aufiero T X, Pae W E, Miller C A, Pierce W S. Combined registry for the clinical use of mechanical ventricular assist pumps and the total artifical heart in conjunction with heart transplantation: sixth official report -1994. J Heart Lung Transplant. 1995; 14 585-593
- 3 Fukamachi K, McCarthy P M, Smedira N G, Vargo R L, Starling R C, Young J B. Preoperative risk factors for right ventricular failure after implantable left ventricular assist device insertion. Ann Thorac Surg. 1999; 68 2181-2184
- 4 El-Banayosi A, Arusoglu L, Kizner L. e t al . Predictors of survival in patients bridged to transplantation with the Thoratec VAD device: a single center retrospective study on more than 100 patients. J Heart Lung Transplant. 2000; 19 964-968
- 5 McCarthy P M, Smedira N O, Vargo R L. et al . One hundred patients with the Heartmate left ventricular assist device: evolving concepts and technology. J Thorac Cardiovasc Surg. 1998; 115 904-912
- 6 Argenziano M, Choudhri A F, Moazami N. et al . Randomized, double-blind trial of inhaled nitric oxide in LVAD recipients with pulmonary hypertension. Ann Thorac Surg. 1998; 65 340-345
- 7 Pavie A, Leger P. Physiology of univentricular versus biventricular support. Ann Thorac Surg. 1996; 61 347-349
- 8 Fiser S M, Tribble C G, Kaza A K. et al . When to discontinue extracorporeal membrane oxygenation for postcardiotomy support. Ann Thorac Surg. 2001; 71 210-214
- 9 Smedira N G, Blackstone E H. Postcardiotomy mechanical support: risk factors and outcomes. Ann Thorac Surg. 2001; 71 S60-S66
- 10 Gray L A, Champsaur G G. The BVS 5000 biventricular assist device. The word-wide registry experience. ASAIO J. 1994; 40 M460-M464
- 11 Geskes G G, Dekker A L, van der Veen F H. et al . The Enabler right ventricular circulatory support system for beating heart coronary artery bypass graft surgery. Ann Thorac Surg. 1999; 68 1558-1561
- 12 Duncan B W, Hraska V, Jonas R A. et al . Mechanical circulatory support in children with cardiac disease. J Thorac Cardiovasc Surg. 1999; 117 529-542
- 13 Stiller B, Dähnert I, Berger F. et al . Kunstherzeinsatz im Terminalstadium der dilatativen Kardiomyopathie im Kindesalter. Z Kardiol. 2000; 89 1039-1045
- 14 Radovancevic B, Nakatani T, Frazier O H. et al . Mechanical circulatory support for perioperative donor heart failure. ASAIO Trans. 1989; 35 539-540
- 15 Bourge R C, Naftel D C, Costanzo-Nordin M R. et al . Pretransplantation risk factors for death after heart transplantation: a multiinstitutional study. J. Heart Lung Transpl.. 1993; 12 549-562
- 16 Barnard S P, Hasan A, Forty J, Hilton C J, Dark J H. Mechanical ventricular assistance for the failing right ventricle after cardiac transplantation. Eur J Cardiothorac Surg. 1995; 9 297-299
- 17 Santamore W P, Gray L J. Left ventricular contributions to right ventricular systolic function during LVAD support. Ann Thorac Surg. 1996; 61 350-356
- 18 Moon M R, Castro L J, DeAnda A. et al . Right ventricular dynamics during left ventricular assistance in closed-chest dogs. Ann Thorac Surg. 1993; 56 54-67
- 19 Hunt E, Moore J B. Use of blood and blood products. Vet Clin North Am. 1990; 6 133-147
- 20 Moon M R, DeAnda A, Castro L J, Daughters G T, Ingels N B, Miller D C. Effects of mechanical left ventricular support on right ventricular diastolic function. J Heart Lung Transplant. 1997; 16 398-407
- 21 McBride L R, Ruggiero R, Powers K A, Moroney D A, Swartz M T. Right ventricular infarction during left ventricular assist system support. Ann Thorac Surg. 1998; 65 839-841
- 22 Noirhomme P, Jacquet L, d'Udekem d'Acoz Y, Goenen M, Dion R. Ischemic right heart failure followin g LVAD implantation. J Heart Lung Transplant. 2000; 19 619-620
- 23 Mandarino W A, Winowich S, Gorcsan III J. et al . Rigth ventricular performance and left ventricular assist device filling. Ann Thorac Surg. 1997; 63 1044-1049
- 24 Deng M C, Loebe M, El-Banayosy A. et al . Mechanical circulatory support for advanced heart failure: effect of patient selection on outcome. Circulation. 2001; 103 231-237
- 25 Oz M C, Slater J P, Edwards N. et al . Desaturated venous-to-arterial shunting reduces right-sided heart failure after cardiopulmonary bypass. J Heart Lung Transplant. 1995; 14 172-176
- 26 Santamore W P, Austin I II, Gray L J. Overcoming right ventricular failure with left ventricular assist devices. J Heart Lung Transplant. 1997; 16 1122-1128
Prof. Dr. med. Christof Schmid
Department of Thoracic and Cardiovascular
Surgery
Albert-Schweitzer-Straße 33
48149
Münster
Germany
Phone: +49 (251) 835 74 12
Fax: +49 (251) 834 83 16
Email: schmid@uni-muenster.de