Management of Right Heart Failure after Cardiac Surgery

Takeo Fujino, Akira Shiose

Research output: Contribution to journalReview article

Abstract

Perioperative right heart failure(RHF) is an important problem, especially in the field of heart failure surgery. Right ventricular performance is determined by the combination of preload, contractility, heart rate, rhythm and afterload. Many factors influence on these parameters in the perioperative period, and the deterioration of one of them can cause RHF. Recently, we often encounter perioperative RHF after left ventricular assist device (LVAD) implantation, and prompt LVAD pump speed optimization and treatment for RHF is required to avoid complications and hemodynamic deterioration. Concomitant tricuspid annulus plasty may be effective for selected patients. In this review, we show the factors determining the performance of right ventricle, and then summarize the etiology and management strategies of perioperative RHF.

Original languageEnglish
Pages (from-to)617-621
Number of pages5
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume70
Issue number8
Publication statusPublished - Jul 1 2017

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Thoracic Surgery
Heart Failure
Heart-Assist Devices
Perioperative Period
Heart Ventricles
Heart Rate
Hemodynamics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Management of Right Heart Failure after Cardiac Surgery. / Fujino, Takeo; Shiose, Akira.

In: Kyobu geka. The Japanese journal of thoracic surgery, Vol. 70, No. 8, 01.07.2017, p. 617-621.

Research output: Contribution to journalReview article

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