Biventricular failure with low pulmonary vascular resistance was managed by left ventricular assist device alone without right-sided mechanical support View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-09

AUTHORS

Teruhiko Imamura, Koichiro Kinugawa, Daisuke Nitta, Masaru Hatano, Osamu Kinoshita, Kan Nawata, Minoru Ono

ABSTRACT

How to manage preoperative right ventricular dysfunction (RVD) in heart failure patients without cardiogenic shock remains as a matter to be debated because implantable biventricular assist device treatment has not been established thus far. We here presented a patient with significant RVD indicated by low RV stroke work index (0.3 g/m) and RV dilatation as well as low pulmonary vascular resistance (PVR, 0.8 Wood Unit), who was managed by the introduction of pimobendan and sildenafil after the implantation of DuraHeart and tricuspid annuloplasty without right VAD, although his New York Heart Association symptom remained class III. Preoperative low PVR may be a key for successful LVAD treatment alone without right VAD in patients with INTERMACS profile 3 suffering RVD. More... »

PAGES

272-275

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10047-015-0829-x

DOI

http://dx.doi.org/10.1007/s10047-015-0829-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1039190305

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25773932


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