Department of Medicine, Division of Cardiology, University of Minnesota, Variety Club Research Center (VCRC), 401 E. River Parkway, Minneapolis, MN 55455, USA.
Department of Surgery, Division of Cardiothoracic Surgery, University of Minnesota, 425 E River Parkway, 347, Minneapolis, MN 55455, USA.
Cardiol Clin. 2020 May;38(2):219-225. doi: 10.1016/j.ccl.2020.01.007.
Right ventricular failure after left ventricular assist device (LVAD) implantation remains common in the contemporary, continuous-flow era. Clinically meaningful, reproducible, and consensus definitions of both early and late right ventricular failure after LVAD are needed for progress in advanced heart failure. Right ventricular failure after LVAD implantation and post-LVAD vasoplegia share similar risk factors and physiology. The relative right ventricular failure that accompanies right ventricular vasoplegia can be treated with temporary right ventricular assist device support.
左心室辅助装置（LVAD）植入后右心衰竭在当代连续流时代仍然很常见。为了在晚期心力衰竭方面取得进展，需要有临床意义上、可重复的以及对 LVAD 后早期和晚期右心衰竭的共识定义。LVAD 植入后和 LVAD 后血管麻痹的右心衰竭具有相似的危险因素和生理学。伴随右心室血管麻痹的相对右心衰竭可以用临时右心室辅助装置支持来治疗。
