Acute Right Ventricular Failure: Temporary Ventricular Support

Author: Nahush Mokadam, MD; Edward Verrier, MD
Institution: University of Washington
Date Reviewed: March 2014
Learning Domain: Adult Cardiac Surgery
Learning Objective: Acute Heart Failure, Ventricular Support
PowerPoint File: Acute Right Ventricular Failure: Temporary Ventricular Support

Discussion Points for Conference

• Cardiac trauma in MSOF
• Acute right ventricular support
  • Centrifugal pumps 
  • ECMO
• Acute traumatic TV / RV  rupture
• Was RCA occlusion acute or chronic?
• Cardiac interventions ?
  • Tamponade
  • RV dysfunction
  • Acute TV insufficiency
  • Coronary artery disease
• Sequencing of surgery
• Expected outcomes
• Follow up planning

Learning Points

• Acute right ventricular support can be achieved via groin access
• Acute and Chronic TV insufficiency can be tolerated
• Long term prognosis probably related to rehabilitation potential
• Acute RVAD support usually in context of acute & chronic LVAD support