Right heart failure surgery

Right heart failure Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating Right heart failure from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

MRI

Echocardiography

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Right heart failure surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Google Images

American Roentgen Ray Society Images of Right heart failure surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Right heart failure surgery

CDC on Right heart failure surgery

Right heart failure surgery in the news

Blogs on Right heart failure surgery

Directions to Hospitals Treating Right heart failure

Risk calculators and risk factors for Right heart failure surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:  Jad Z Al Danaf; Rim Halaby

## Overview

[edit | edit source]

Surgical intervention in right heart failure is mainly indicated in valvular pathologies and congenital heart diseases that are causing worsening of heart failure despite adequate medical interventions. In addition, early surgical interventions in these pathologies have been associated with improved survival and functional status (exercise tolerance for example which serves as an important prognostic indicator in right heart failure) of the patients. [1]. Treating primary pulmonary hypertension often leads to greater stamina and a longer life. In some cases, a lung transplant or heart-lung transplant can extend survival.

## Surgery

[edit | edit source]

* Surgical intervention in right heart failure is mainly indicated in valvular pathologies and congenital heart diseases that are causing worsening of heart failure despite adequate medical interventions.[1]
* At advanced stages of heart failure, the following surgical procedures have been adapted depending on the individual cases and of course the patient’s will:
* Atrial septostomy in some patients with pulmonary hypertension
* Heart transplantation, heart-lung transplantation
* Extracorporeal membrane oxygenation (ECMO)
* Right ventricle / left ventricle assist devices.[1].
* The most common indications of a right ventricular assist device (RVAD) are:
* Severe right ventricular failure after left ventricle assist device
* Right ventricular failure after massive pulmonary embolism
* Right ventricular failure after heart transplantation[1][2]
* Treating primary pulmonary hypertension often leads to greater stamina and a longer life. In some cases, a lung transplant or heart-lung transplant can extend survival.

## References

[edit | edit source]

1. ↑ 1.0 1.1 1.2 1.3 Haddad F. et al. Right Ventricular function in Cardiovascular Disease, Part II: Pathophysiology, Clinical Importance and Management of Right Ventricular failure. Circulation. 2008;117:1717-1731
2. ↑ Kaul TK, Fields BL. Postoperative acute refractory right ventricular failure: incidence, pathogenesis, management and prognosis. Cardiovasc Surg. 2000;8:1-9.

Template:WH Template:WS