What’s New in MCS

نویسنده

  • Mrudula R Munagala
چکیده

Right ventricular dysfunction and significant tricuspid regurgitation are frequently seen in end stage heart failure patients undergoing Left Ventricular Assist Device (LVAD) implantation. Clinical impact of tricuspid valve repair at the time of LVAD implantation in patients with pre-existing significant tricuspid regurgitation has been a topic of debate for several years. Some groups have advocated for concomitant repair and reported decreased postoperative right ventricular failure and improved clinical outcomes. However, the STS database analysis by Roberston etal., showed worse early operative outcomes in the group that underwent concomitant tricuspid valve procedures. At this time, there are no guidelines or randomized controlled trials to guide management of significant tricuspid regurgitation in patient’s undergoing LVAD implantation.

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تاریخ انتشار 2016