Lung perfusion and ventilation during implantation of left

Interact Cardiovasc Thorac Surg · Nov 2013

Case Reports

Lung perfusion and ventilation during implantation of left ventricular assist device as a strategy to avoid postoperative pulmonary complications and right ventricular failure.

Right ventricular failure is a major contributor to increased morbidity and mortality in patients undergoing left ventricular assist device implantation. Cardiopulmonary bypass is associated with increased pulmonary ischaemia and pulmonary vascular resistance. Continuous pulmonary perfusion and ventilation represents an emerging strategy for pulmonary protection during cardiac surgery. We hypothesize that this technique may have a pivotal role in reducing postoperative right ventricular dysfunction in high-risk patients undergoing LVAD placement.

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- Francisco Igor B Macedo, Anthony L Panos, Fotios M Andreopoulos, Tomas A Salerno, and Si M Pham.
- Division of Cardiothoracic Surgery, Heart/Lung Transplantation and Artificial Heart Programs, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, FL, USA.
- Interact Cardiovasc Thorac Surg. 2013 Nov 1; 17 (5): 764-6.
AbstractRight ventricular failure is a major contributor to increased morbidity and mortality in patients undergoing left ventricular assist device implantation. Cardiopulmonary bypass is associated with increased pulmonary ischaemia and pulmonary vascular resistance. Continuous pulmonary perfusion and ventilation represents an emerging strategy for pulmonary protection during cardiac surgery. We hypothesize that this technique may have a pivotal role in reducing postoperative right ventricular dysfunction in high-risk patients undergoing LVAD placement.

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Lung perfusion and ventilation during implantation of left ventricular assist device as a strategy to avoid postoperative pulmonary complications and right ventricular failure.

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