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The VAD Journal: The journal of mechanical assisted circulation and heart failure Right ventricle chest compressions: do we need a new paradigm for LVAD patients needing resuscitation? A case report

Arvind Bhimaraj, Erik Suarez, Jerry Estep
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The use of chest compressions in patients with left ventricular assist devices (LVAD) have been viewed to cause a potential damage to the outflow graft and hence have been a topic of controversy. We report a case of a LVAD patient who needed chest compressions during resuscitation for severe right ventricular failure. With the presence of trans-esophageal echocardiogram we noticed that the chest compressions did not need to be full ACLS compressions but modified to gentle right ventricular (RV)
more » ... compressions in order to move blood into a normally functioning LVAD. We report this as a call for the LVAD medical providers to rethink concepts of standard resuscitation.
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Arvind Bhimaraj, Erik Suarez, Jerry Estep. "The VAD Journal: The journal of mechanical assisted circulation and heart failure Right ventricle chest compressions: do we need a new paradigm for LVAD patients needing resuscitation? A case report."