Key result
Valvular pathology in patients requiring long-term mechanical ventricular support is an evolving and potentially dynamic problem requiring individualized management.
Highlights the evolving understanding and management of valvular pathologies, particularly tricuspid and aortic regurgitation, in patients with long-term LVADs.
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Supports individualized valvular management in long-term LVAD patients; leaves open optimal protocols pending prospective trials.
It is becoming clear that valvular pathology in patients requiring long-term mechanical ventricular support is an evolving, poorly understood and potentially dynamic problem. While strict guidelines are lacking, there is a growing experience in the understanding and management of the growing spectrum of valvular problems in this complex patient population. While the management of tricuspid and aortic regurgitation is of significant concern and may potentially have significant adverse impact on outcomes, other valvular pathologies can be problematic and require management in a manner unique to each patient.
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Firstenberg et al. (2012) conducted a review in Valvular disease in patients requiring long-term left ventricular assist devices. Management of valvular pathology was evaluated. Valvular pathology in patients requiring long-term mechanical ventricular support is an evolving and potentially dynamic problem requiring individualized management.
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