Mitral Intervention with LVAD: Preparing for Recovery.

Journal Article (Journal Article;Review)

Left ventricular assist device (LVAD) insertion is an increasingly common treatment of advanced heart failure. Insertion guidelines suggest regurgitant lesions of the mitral valve should not be addressed. However, recent evidence suggests that mitral regurgitation may not necessarily improve with LVAD insertion, and such patients may have worse outcomes. Thus, practice variability is high given the discrepancy between traditional thinking and new evidence that unrepaired mitral regurgitation may increase perioperative mortality. Additionally, the challenges of LVADs can make transesophageal echocardiography evaluation and assessment of mitral valve pathology difficult.

Full Text

Duke Authors

Cited Authors

  • Maxwell, C; Whitener, G

Published Date

  • March 2019

Published In

Volume / Issue

  • 23 / 1

Start / End Page

  • 134 - 139

PubMed ID

  • 30014773

Electronic International Standard Serial Number (EISSN)

  • 1940-5596

Digital Object Identifier (DOI)

  • 10.1177/1089253218788081


  • eng

Conference Location

  • United States