Harvard Medical School, Division of Cardiac Surgery, Massachusetts General Hospital, 55 Fruit Street, COX630, Boston, MA 02114-2696, USA.
Cardiol Clin. 2012 May;30(2):283-9. doi: 10.1016/j.ccl.2012.03.010.
Right ventricular (RV) failure remains a major problem in cardiac surgery, particularly in the setting of heart transplantation and following institution of left ventricular support. Experimental studies have shown that RV function is derived from 2 sources: the free wall of the RV and the interventricular septum. Management of RV failure involves not only decreasing RV afterload, but also optimizing both contributions to RV function, which is best achieved by optimizing developed systemic pressure. Techniques for managing the pulmonary circulation and strategies for optimizing RV function in various clinical settings are presented.
右心室（RV）衰竭仍然是心脏手术中的一个主要问题，特别是在心脏移植和左心室支持建立后。实验研究表明，RV 功能来自 2 个来源：RV 的游离壁和室间隔。RV 衰竭的治疗不仅包括降低 RV 后负荷，还包括优化 RV 功能的两个贡献，这最好通过优化已发展的全身血压来实现。本文介绍了管理肺循环的技术和优化各种临床情况下 RV 功能的策略。
