focused review on transthoracic echocardiographic assessment of patients with continuous axial left ventricular assist devices回顾关注经胸廓的超声心动图评估患者连续轴左心室辅助装置.pdfVIP

SAGE-Hindawi Access to Research Cardiology Research and Practice Volume 2011, Article ID 187434, 11 pages doi:10.4061/2011/187434 Review Article Focused Review on Transthoracic Echocardiographic Assessment of Patients with Continuous Axial Left Ventricular Assist Devices Yan Topilsky,1 Simon Maltais,2 Jae K. Oh,1 Fawn W. Atchison,3 Louis P. Perrault,4 Michel Carrier,4 and Soon J. Park2 1 Division of Cardiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA 2 Division of Cardiovascular Surgery, Mayo Clinic College of Medicine, 200 First Street S.W. Rochester, MN 55905, USA 3 Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA 4 Department of Cardiac Surgery, Montreal Heart Institute, Montreal, QC, Canada H1T1C8 Correspondence should be addressed to Soon J. Park, park.soon@ Received 2 November 2010; Accepted 17 December 2010 Academic Editor: Dirk Westermann Copyright © 2011 Yan Topilsky et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Left ventricular assist devices (LVADs) are systems for mechanical support for patients with end-stage heart failure. Preoperative, postoperative and comprehensive followup with transthoracic echocardiography has a major role in LVAD patient management. In this paper, we will present briefly the hemodynamics of axial-flow LVAD, the rationale, and available data for a complete and organized echocardiographic assessment in these patients including preoperative assessment, postoperative and long-term evaluation. 1. Introduction flow pump that measures 25 mm in diam