Mitral Intervention with LVAD: Preparing for Recovery

Seminars in Cardiothoracic and Vascular Anesthesia
Cory Maxwell, George Whitener

Abstract

Left ventricular assist device (LVAD) insertion is an increasingly common treatment of advanced heart failure. Insertion guidelines suggest regurgitant lesions of the mitral valve should not be addressed. However, recent evidence suggests that mitral regurgitation may not necessarily improve with LVAD insertion, and such patients may have worse outcomes. Thus, practice variability is high given the discrepancy between traditional thinking and new evidence that unrepaired mitral regurgitation may increase perioperative mortality. Additionally, the challenges of LVADs can make transesophageal echocardiography evaluation and assessment of mitral valve pathology difficult.

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Citations

Feb 23, 2019·Seminars in Cardiothoracic and Vascular Anesthesia·Nirvik PalMiklos D Kertai
Jan 15, 2021·Seminars in Thoracic and Cardiovascular Surgery·Garrett N CoyanChristopher M Sciortino
Jan 21, 2021·ESC Heart Failure·Jose B Cruz RodriguezIndranee Rajapreyar
Jun 10, 2021·Methodist DeBakey Cardiovascular Journal·Deepa RaghunathanBiswajit Kar
Aug 17, 2021·Artificial Organs·Constantin SchreiberAnna L Meyer
Sep 28, 2021·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Paul C TangFrancis D Pagani

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Methods Mentioned

BETA
coronary artery bypass

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