Right ventricular failure

Pathophysiology and treatment

P. A. Spence, R. D. Weisel, Tomas Salerno

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The cardiac surgeon is faced with RV failure in two main situations: in isolation or in patients with left-sided cardiac assist. Adequate volume loading, correction of acidosis and oxygenation, cardiac pacing, pharmacologic agents, and systemic intra-aortic balloon pumping allow stabilization in most of these patients. When these measures fail, some form of mechanical assistance of the right ventricle becomes necessary. Balloon counterpulsation in the pulmonary artery improved RV output but does not restore the systemic perfusion if the right ventricle is profoundly depressed. When the right ventricle is profoundly depressed, a mechanical assist pump is the only device capable of restoring systemic perfusion. Like the left ventricle, the right ventricle, given time and support, can recover enough function to allow weaning from the assist device and survival.

Original languageEnglish
Pages (from-to)689-697
Number of pages9
JournalSurgical Clinics of North America
Volume65
Issue number3
StatePublished - Dec 1 1985
Externally publishedYes

Fingerprint

Treatment Failure
Heart Ventricles
Perfusion
Intra-Aortic Balloon Pumping
Counterpulsation
Equipment and Supplies
Acidosis
Weaning
Pulmonary Artery
Survival

ASJC Scopus subject areas

  • Surgery

Cite this

Right ventricular failure : Pathophysiology and treatment. / Spence, P. A.; Weisel, R. D.; Salerno, Tomas.

In: Surgical Clinics of North America, Vol. 65, No. 3, 01.12.1985, p. 689-697.

Research output: Contribution to journalArticle

Spence, P. A. ; Weisel, R. D. ; Salerno, Tomas. / Right ventricular failure : Pathophysiology and treatment. In: Surgical Clinics of North America. 1985 ; Vol. 65, No. 3. pp. 689-697.
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