PMID: 11899176Mar 20, 2002Paper

Right ventricular dysfunction and organ failure in left ventricular assist device recipients: a continuing problem

The Annals of Thoracic Surgery
Minoo N KavaranaYoshifumi Naka

Abstract

Although right ventricular assist device (RVAD) use has declined with the introduction of inhaled nitric oxide and phosphodiesterase inhibitors (type III), right ventricular dysfunction (RVD) is still a serious problem in patients receiving left ventricular assist devices (LVAD). We retrospectively analyzed Thoratec Vented Electrical LVAD recipients between June 1996 and September 1999. RVD was defined as inotropic requirement 14 days or more or need for RVAD postoperatively, or both. Sixty-nine LVAD recipients were analyzed. Twenty-one patients (30.4%) had RVD, with 1 patient requiring RVAD insertion, and there were 48 non-RVD patients. There were no significant differences between both groups for age, sex, etiology of congestive heart failure, days of support, and preoperative hemodynamics. Preoperative right ventricle stroke work index (mm Hg x m(-2) x L(-1)) had a trend toward being lower in the RVD group (4.1+/-3.2 versus 6.1+/-3.7, p = 0.06). A higher preoperative total bilirubin (mg/dL) was noticed in the RVD group (4.0+/-5.2 versus 2.1+/-1.7). The RVD group had a higher postoperative creatinine (2.2+/-1.4 mg/dL versus 1.5+/-0.8 mg/dL), incidence of continuous venovenous hemofiltration dialysis (73% versus 26%), transfus...Continue Reading

References

Jun 1, 1992·The Annals of Thoracic Surgery·O H FrazierK A Dasse
Feb 1, 1985·World Journal of Surgery·D J FarrarJ D Hill
Jan 1, 1985·The Annals of Thoracic Surgery·D G PenningtonV L Willman
Jan 1, 1996·The Annals of Thoracic Surgery·E A Rose, D J Goldstein
Oct 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·T SpanierA M Schmidt

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Citations

May 2, 2009·European Radiology·Hans ScheffelHatem Alkadhi
Aug 31, 2013·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Hiroyuki NishiYoshiki Sawa
Jul 9, 2011·Annals of Biomedical Engineering·Shaun D GregoryJohn F Fraser
Jan 12, 2011·Current Heart Failure Reports·Michael L Craig
Sep 16, 2010·Current Treatment Options in Cardiovascular Medicine·Matthew A RomanoFrancis D Pagani
Mar 1, 2009·Journal of Cardiovascular Translational Research·Ranjit John, Sangjin Lee
Sep 3, 2010·Journal of Cardiovascular Translational Research·Ranjit JohnKenneth Liao
Nov 13, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mirela SchererSven Martens
Jun 7, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Assad HaneyaStephan W Hirt
Sep 7, 2005·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Minoo N KavaranaRobert D Dowling
Jan 31, 2004·The Journal of Thoracic and Cardiovascular Surgery·Robert D DowlingO H Frazier
Dec 12, 2003·The Annals of Thoracic Surgery·Hans GranfeldtHenrik C Ahn
Jun 1, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Stephen Westaby, O Howard Frazier
Jul 27, 2007·Artificial Organs·Yoshio OotakiKiyotaka Fukamachi
Aug 14, 2012·Artificial Organs·Simon SchopkaMichael Hilker
Dec 14, 2006·Critical Care : the Official Journal of the Critical Care Forum·Marco Ranucci
Feb 18, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Shunsuke SaitoYoshiki Sawa
Mar 5, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Ikutaro NakajimaMasafumi Kitakaze
Dec 15, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·J Raymond Fitzpatrick Iii, Y Joseph Woo
Dec 22, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Shigeki Morita
Dec 6, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Koichi TodaTakeshi Nakatani
Mar 8, 2013·Future Cardiology·Stephen Westaby
Aug 3, 2014·The Annals of Thoracic Surgery·Nicholas A HaglundSimon Maltais
Jan 22, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Kimberly A SliningerAbeel A Mangi
Jul 6, 2014·Critical Care Clinics·Christopher KingOksana A Shlobin
Feb 28, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tomoyuki FujitaTakeshi Nakatani
Mar 17, 2010·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Carrie M CarrPhilip A Araoz
Jun 24, 2005·Intensive Care Medicine·Peter GermannRoman Ullrich
Jul 29, 2011·Heart Failure Reviews·Maya Guglin, Sameer Verma
Jan 10, 2012·QJM : Monthly Journal of the Association of Physicians·S W Dubrey, R L Comenzo
Apr 5, 2016·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Brian A HoustonRyan J Tedford
May 20, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Petter SchillerLaila Hellgren
Feb 7, 2016·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Sajad ShehabChristopher S Hayward
Mar 10, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·William L HolmanRenzo Y Loyaga-Rendon
Dec 15, 2015·The Journal of Thoracic and Cardiovascular Surgery·Allison P LevinVeli K Topkara
Aug 23, 2012·Best Practice & Research. Clinical Anaesthesiology·Koichi YukiJames DiNardo
May 23, 2012·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Shunsuke SaitoYoshiki Sawa
Dec 16, 2011·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Yajuan WangJames F Antaki
Nov 9, 2011·Cardiology Clinics·David J Kaczorowski, Y Joseph Woo

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