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Special Considerations for Advanced Heart Failure Surgeries: Durable Left Ventricular Devices and Heart Transplantation.
Akbar, Armaan F; Zhou, Alice L; Wang, Annie; Feng, Amy S N; Rizaldi, Alexandra A; Ruck, Jessica M; Kilic, Ahmet.
Affiliation
  • Akbar AF; Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA.
  • Zhou AL; Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA.
  • Wang A; Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA.
  • Feng ASN; Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA.
  • Rizaldi AA; Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA.
  • Ruck JM; Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA.
  • Kilic A; Division of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 Orleans Street, Zayed 7107, Baltimore, MD 21287, USA.
J Cardiovasc Dev Dis ; 11(4)2024 Apr 15.
Article in En | MEDLINE | ID: mdl-38667737
ABSTRACT
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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: J Cardiovasc Dev Dis Year: 2024 Document type: Article Affiliation country: United States Country of publication: Switzerland
Fulltext
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: J Cardiovasc Dev Dis Year: 2024 Document type: Article Affiliation country: United States Country of publication: Switzerland