Right Ventricular Failure After Cardiac Surgery

被引：29
|
作者：
Vlahakes, Gus J. [1 ]
机构：
[1] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Div Cardiac Surg, Boston, MA 02114 USA
来源：
CARDIOLOGY CLINICS | 2012年 / 30卷 / 02期
关键词：
Right ventricle; Right ventricular failure; Interventricular failure; Nitric oxide; Prostacyclin; Cardiac transplantation; Cardiac assist device; INHALED NITRIC-OXIDE; PULMONARY-HYPERTENSION; PROSTACYCLIN; DETERMINANTS; DYSFUNCTION; PRESSURE;
D O I：
10.1016/j.ccl.2012.03.010
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Right ventricular (RV) failure remains a major problem in cardiac surgery, particularly in the setting of heart transplantation and following institution of left ventricular support. Experimental studies have shown that RV function is derived from 2 sources: the free wall of the RV and the interventricular septum. Management of RV failure involves not only decreasing RV afterload, but also optimizing both contributions to RV function, which is best achieved by optimizing developed systemic pressure. Techniques for managing the pulmonary circulation and strategies for optimizing RV function in various clinical settings are presented.
引用
收藏
页码：283 / +
页数：9
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