The Forgotten Right Ventricle

Concurrent Session Moderator(s)

• 

  Steven Hollenberg, MD, FACC, FAHA

  Professor of Medicine
  Hackensack Meridian Health Hackensack University Medical Center
  West New York

  No relevant financial relationship(s) to disclose
• 

  Saraschandra Vallabhajosyula, MD, MSc,

  Assistant Professor of Medicine, Section of Cardiovascular Medicine
  Wake Forest Baptist Medical Center
  Winston Salem, North Carolina

  No relevant financial relationship(s) to disclose

Acute right ventricular (RV) failure is becoming more common in the ICU, especially in patients with acute respiratory distress syndrome (ARDS) on mechanical ventilation. Differences between left ventricular (LV) and RV physiology are important and are not always fully appreciated. Current treatment entails pharmacologic support while volume status is optimized. These measures are frequently insufficient to augment RV systolic function. Recent advances have resulted in several device options for mechanical RV support, both percutaneous and surgically implanted. Critical care physicians are increasingly involved in decisions about when temporary support is appropriate and how this is best accomplished. Mechanically circulatory support may be required. This session will review RV physiology, clinical scenarios warranting RV support, pharmacotherapy, and mechanical support options.

Presentations:

• The Forgotten Right Ventricle: Differences in RV and LV Physiology
  

  Concurrent Session Faculty: Clifford Greyson, MD – Colorado University
• Pharmacologic Therapy for Acute RV Failure
  

  Concurrent Session Faculty: Kayla A. Nichols, BCCCP, BS, PharmD – Emory University Hospital
• RV Mechanical Circulatory Support Devices
  

  Concurrent Session Faculty: Kush R. Dholakia, MBA, MD, FACP – Lenox Hill Hospital