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Updated: May 15, 2026

Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
Right-ventricular failure following left ventricle assist device implantation
Bhagat Patlolla1, Ramin Beygui, Francois Haddad
1Department of Cardiothoracic Surgery, Stanford University, California, USA. bhagatp@stanford.edu
Purpose Of Review:
To review recent insights on right-ventricular failure (RVF) following left-ventricular assist device (LVAD) implantation.
Recent Findings:
Even with the availability of new generation continuous mechanical assist devices, RVF after implantation of LVAD is still associated with high morbidity and mortality. Recent studies have tried to better define the risk of RVF using combined clinical scores and measures of right-ventricular function or strain. Small exploratory studies have also investigated the role of pulmonary vasodilators and phosphodiesterase inhibitors in selected patients receiving LVAD implantation.
Summary:
Measure of right-ventricular function could improve the risk stratification of RVF following LVAD implantation. Future multicenter studies are needed to validate right-ventricular risk scores and to develop evidence-guided preventive and therapeutic strategies.
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