Special Considerations for Advanced Heart Failure Surgeries: Durable Left Ventricular Devices and Heart Transplantation

Armaan F. Akbar; Alice L. Zhou; Annie Wang; Amy S. N. Feng; Alexandra A. Rizaldi; Jessica M. Ruck; Ahmet Kilic

doi:10.3390/jcdd11040119

Journal of Cardiovascular Development and Disease (Apr 2024)

Special Considerations for Advanced Heart Failure Surgeries: Durable Left Ventricular Devices and Heart Transplantation

Armaan F. Akbar,
Alice L. Zhou,
Annie Wang,
Amy S. N. Feng,
Alexandra A. Rizaldi,
Jessica M. Ruck,
Ahmet Kilic

Affiliations

Armaan F. Akbar: Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA
Alice L. Zhou: Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA
Annie Wang: Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA
Amy S. N. Feng: Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA
Alexandra A. Rizaldi: Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA
Jessica M. Ruck: Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA
Ahmet Kilic: Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA

DOI: https://doi.org/10.3390/jcdd11040119
Journal volume & issue: Vol. 11, no. 4
p. 119

Abstract

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Heart transplantation and durable left ventricular assist devices (LVADs) represent two definitive therapies for end-stage heart failure in the modern era. Despite technological advances, both treatment modalities continue to experience unique risks that impact surgical and perioperative decision-making. Here, we review special populations and factors that impact risk in LVAD and heart transplant surgery and examine critical decisions in the management of these patients. As both heart transplantation and the use of durable LVADs as destination therapy continue to increase, these considerations will be of increasing relevance in managing advanced heart failure and improving outcomes.

Published in Journal of Cardiovascular Development and Disease

ISSN: 2308-3425 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: http://www.mdpi.com/journal/jcdd

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Abstract

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