Right Heart Dysfunction After Left Ventricular Assist Device Implantation: A Comparison of the Pulsatile HeartMate I and Axial-Flow HeartMate II Devices

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Presentation transcript:

Right Heart Dysfunction After Left Ventricular Assist Device Implantation: A Comparison of the Pulsatile HeartMate I and Axial-Flow HeartMate II Devices Nishant D. Patel, BA, Eric S. Weiss, MD, Justin Schaffer, MS, Susan L. Ullrich, RN, Dennis C. Rivard, MA, Ashish S. Shah, MD, Stuart D. Russell, MD, John V. Conte, MD The Annals of Thoracic Surgery Volume 86, Issue 3, Pages 832-840 (September 2008) DOI: 10.1016/j.athoracsur.2008.05.016 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (Left) The HeartMate II and (right) the HeartMate I (XVE) left ventricular assist devices. The Annals of Thoracic Surgery 2008 86, 832-840DOI: (10.1016/j.athoracsur.2008.05.016) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Preoperative and postoperative hemodynamic data for HeartMate I (solid lines) and HeartMate II (dashed lines). (CVP = central venous pressure; mPAP = mean pulmonary artery pressure; PCWP = pulmonary capillary wedge pressure.) The Annals of Thoracic Surgery 2008 86, 832-840DOI: (10.1016/j.athoracsur.2008.05.016) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Preoperative and postoperative serum creatinine and total bilirubin for HeartMate I (solid lines) and HeartMate II (dashed lines). The Annals of Thoracic Surgery 2008 86, 832-840DOI: (10.1016/j.athoracsur.2008.05.016) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Kaplan-Meier survival, including hospital deaths, for HeartMate I (HMI [solid line]) and HeartMate II (HMII [dashed line]) patients. The Annals of Thoracic Surgery 2008 86, 832-840DOI: (10.1016/j.athoracsur.2008.05.016) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Echocardiogram showing septal bowing into the left ventricle after HeartMate XVE implantation. The Annals of Thoracic Surgery 2008 86, 832-840DOI: (10.1016/j.athoracsur.2008.05.016) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions