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Right ventricular infarction during left ventricular assist system support

L R McBride1, R Ruggiero, K A Powers

  • 1Department of Surgery, Saint Louis University Health Sciences Center, Missouri 63110-0250, USA. mcbridlm@wpogate.slu.edu

The Annals of Thoracic Surgery
|April 4, 1998
PubMed
Summary

Left ventricular assist devices (LVADs) can bridge patients to heart transplants. This case report details a rare complication: acute right ventricular infarction during LVAD support in a patient with ischemic cardiomyopathy.

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Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Transplantation Medicine

Background:

  • Left ventricular assist devices (LVADs) are crucial for managing end-stage heart failure and bridging patients to cardiac transplantation.
  • The increasing use of LVADs necessitates a thorough understanding of potential complications beyond typical device-related issues.

Observation:

  • A 50-year-old male patient with ischemic cardiomyopathy experienced an acute right ventricular infarction.
  • This event occurred while the patient was supported by an LVAD as a bridge to cardiac transplantation.

Findings:

  • Acute right ventricular infarction is an uncommon but serious complication that can arise during LVAD support.
  • This complication highlights the potential for unforeseen cardiac events in patients with advanced heart disease undergoing mechanical circulatory support.

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Implications:

  • Clinicians managing LVAD patients must remain vigilant for and prepared to address right ventricular dysfunction.
  • Further research is warranted to elucidate the mechanisms and optimal management strategies for RV infarction in LVAD recipients.