Right Heart Failure with Left Ventricular Assist Devices: Preoperative, Perioperative and Postoperative Management Strategies. A Clinical Consensus Statement of the Heart Failure Association (HFA) of the ESC

Optimise right ventricular (RV) function in every patient before left ventricular assist device (LVAD) implantation; diuretics, inotropes and even temporary mechanical circulatory support may improve RV function

Meticulous perioperative and immediate postoperative management to identify RV failure refractory to medication

Careful monitoring of RV function throughout the entire follow-up, as late right heart failure (RHF) during chronic LVAD support is associated with worse long-term outcomes

Right heart catheterization frequently offers additional support for assessment and optimization of RV function beyond echocardiography

In any LVAD candidate, assess and treat RV function and failure in a multidimensional and multidisciplinary manner