JCDD, Vol. 11, Pages 119: Special Considerations for Advanced Heart Failure Surgeries: Durable Left Ventricular Devices and Heart Transplantation

JCDD, Vol. 11, Pages 119: Special Considerations for Advanced Heart Failure Surgeries: Durable Left Ventricular Devices and Heart Transplantation

Journal of Cardiovascular Development and Disease doi: 10.3390/jcdd11040119

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

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.