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Pearls and pitfalls in managing right heart failure in cardiac surgery CURRENT OPINION IN ANESTHESIOLOGY Haddad, F., Elmi-Sarabi, M., Fadel, E., Mercier, O., Denault, A. Y. 2016; 29 (1): 68-79

Abstract

To review the recent insights in the evaluation and management of perioperative (RHF).Recent studies highlight the potential role of myocardial deformation imaging in the evaluation of patients at risk of postoperative RHF. There is also a growing interest to study the value of load-adaptation indices of the right heart in the setting of pulmonary hypertension or left ventricular assist device implantation. Finally, the field of temporary extracorporeal life support devices for RHF is rapidly evolving and new strategies are emerging.An integrated approach for assessing the cardiopulmonary axis combining imaging, hemodynamic and tissue perfusion monitoring is emerging, as particularly helpful in the field. Several developments in the field of temporary right heart support including the pumpless interventional lung assist membrane ventilator are offering new opportunities to support the right-heart pulmonary circulation. Future multicenter studies are needed to develop more effective preventive and therapeutic strategies for RHF.

View details for DOI 10.1097/ACO.0000000000000284

View details for Web of Science ID 000369423600011

View details for PubMedID 26658183