Intraoperative Central Venous Pressure and Diastolic Pulmonary Artery Pressure as a Marker of Severe Right Ventricular Failure After Left Ventricular Assist Device Implantation

Abstract

Prospective randomized observer-blinded study comparing the analgesic efficacy of ultrasoundguided rectus sheath block and local anaesthetic infiltration for umbilical hernia repair.

Prediction, prevention, and management of right ventricular failure after left ventricular assist device implantation: A comprehensive review

“…After chest closure, invasive measurements of CVP, diastolic PAP and PAPi remain accurate for predicting RVF ( 212 , 213 ). Although no specific cut-offs have been suggested for clinical use, the relevant values are likely lower than those used in pre-operative RV assessment ( 212 , 213 ). Patients who develop RVF show a significant intra-operative drop in RVSWI and blunted increase in cardiac index ( 214 ).…”

Supra-systemic pulmonary hypertension after complicated percutaneous mitral balloon valvuloplasty: a case report and review of literature

“…She had a medical history of coronary artery disease, hypertension, atrial fibrillation, rheumatic mitral valve (MV) disease and stroke with residual left-sided hemiplegia. Transesophageal Echocardiography (TEE) revealed severe MV stenosis (MV area 0.9 cm 2 [normal >1cm 2 ]), mild mitral regurgitation (MR), no vegetations, minimal leaflet motion with pronounced thickening, extensive valvular calcification and minimal thickening of the subvalvular apparatus (Wilkins score 14), no thrombus in the left atrial appendage and preserved left ventricular systolic function.…”

“…Right Ventricular Failure (RVF) represents a highly complex clinical entity without a universal definition and without a single hemodynamic parameter accurate enough to predict or classify the degree of RVF. Invasive techniques in the form of a right heart catheterization provides useful information that allows the clinician to understand the function of the RV and echocardiography provides also helpful parameters for qualitative and quantitative assessment [4,[14][15][16]. RVF has even higher interest in the presence of high PAP, and more so, in patients with severely decreased left ventricular function, as a poor RV performance is associated with poor outcomes in this population of patients.…”

“…RVF has even higher interest in the presence of high PAP, and more so, in patients with severely decreased left ventricular function, as a poor RV performance is associated with poor outcomes in this population of patients. The presence of elevated CVP values (> 18 mmHg) with a depressed cardiac index (< 2 L/min/m 2 ) in the absence of an elevated PCWP (> 18 mmHg), aids the clinician to determine the presence of RVF, although quantifying the severity of this failure is usually made clinically, based on the response to inotropes, pulmonary vasodilators and fluid responsiveness [14].…”