Surgical Treatment of Advanced Heart Failure- Left Ventricular Assist Device Implantation and Adjuvant Tricuspid Valve Repair
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چکیده
Cardiac transplantation is the treatment of choice in patients with end-stage heart failure. Insufficient number of donors in all health systems resulted in the need for intensive development of devices for mechanical circulatory support. Right ventricular failure (RVF) combined with major tricuspid insufficiency among the group of patients who are candidates for the left ventricular assist device (LVAD) represents a significant risk factor in terms of having a successful outcome of surgical treatment of cardiac insufficiency.
منابع مشابه
Successful continuous-flow left ventricular assist device implantation with adjuvant tricuspid valve repair for advanced heart failure
The prevalence of end-stage heart failure (HF) is on the increase, however, the availability of donor hearts remains limited. Left ventricular assist devices (LVADs) are increasingly being used for treating patients with end-stage HF. LVADs are not only used as a bridge to transplantation but also as a destination therapy. HeartMate II, a new-generation, continuous-flow LVAD (cf-LVAD), is curre...
متن کاملRight heart failure and benefits of adjuvant tricuspid valve repair in patients undergoing left ventricular assist device implantation.
OBJECTIVES Although right heart failure (RVF) is an important issue in the management of patients with left ventricular assist devices (LVADs), the benefits of performing tricuspid valve repair in conjunction with LVAD implantation have not been demonstrated. METHODS We retrospectively reviewed the records of 141 patients who received LVAD implantation as a bridge to transplant from May 1999 ...
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Right ventricular dysfunction and significant tricuspid regurgitation are frequently seen in end stage heart failure patients undergoing Left Ventricular Assist Device (LVAD) implantation. Clinical impact of tricuspid valve repair at the time of LVAD implantation in patients with pre-existing significant tricuspid regurgitation has been a topic of debate for several years. Some groups have advo...
متن کاملTechnique for implantation of HeartMate II left ventricular assist device with concurrent mitral and tricuspid valve repair.
A 50-year-old male with end-stage cardiomyopathy had been on the transplant waiting list as UNOS status 1b and was recently admitted to hospital with decompensated heart failure (Video 1). His recent transthoracic echocardiogram showed dilated left ventricle with severe dysfunction, severe mitral valve regurgitation and severe tricuspid valve regurgitation. He was in INTERMACS class II and was ...
متن کاملTricuspid regurgitation in left ventricular assist device patients.
DMBlackstone EH. Tricuspid valve repair: durability and risk factors for failure. J Thorac Cardiovasc Surg 2004;127:674–85. [13] Chumnanvej S, Wood MJ, MacGillivray TE, Vidal Melo MF. Effect of tricuspid annuloplasty on postoperative tricuspid regurgitation following left ventricular assist device implantation. Anesth Analg 2006; 102:SCA54. [14] Scalia GM, McCarthy PM, Savage RM, Smedira NG, Th...
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