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Ann Thorac Surg 2001;71:S220-S222
© 2001 The Society of Thoracic Surgeons

Session 7: lessons learned

Right heart failure: best treated by avoidance

Clifford H. Van Meter, Jr, MDa

a Division of Cardiothoracic Surgery and Transplantation, Alton Ochsner Medical Foundation, New Orleans, Louisiana, USA

Address reprint requests to Dr Van Meter, Division of Cardiothoracic Surgery and Transplantation, Ochsner Clinic, 1514 Jefferson Hwy, 08s-LT, New Orleans, LA 70121
e-mail: cvanmeter{at}ochsner.org

Presented at the Fifth International Conference on Circulatory Support Devices for Severe Cardiac Failure, New York, NY, Sept 15–17, 2000.

Abstract

Right heart failure continues to affect our clinical success with left ventricular assist device support. The inability to consistently predict the probability of the onset of right heart dysfunction contributes to this problem. We have developed an aggressive approach to the management of these patients in an attempt to decrease the incidence of this condition, which continues to carry a very high operative mortality.




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