The right ventricle in cardiac surgery, a perioperative perspective: II. Pathophysiology, clinical importance, and management

Anesth Analg. 2009 Feb;108(2):422-33. doi: 10.1213/ane.0b013e31818d8b92.


The importance of right ventricular (RV) function in cardiovascular disease and cardiac surgery has been recognized for several years. RV dysfunction has been shown to be a significant prognostic factor in cardiac surgery and heart transplantation. In the first article of this review, key features of RV anatomy, physiology, and assessment were presented. In this second part, we review the pathophysiology, clinical importance, and management of RV failure in cardiac surgery.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anesthetics
  • Cardiac Surgical Procedures*
  • Heart Diseases / pathology
  • Heart Diseases / surgery
  • Heart Failure / etiology
  • Heart Failure / physiopathology*
  • Heart Failure / prevention & control*
  • Humans
  • Postoperative Complications / physiopathology*
  • Postoperative Complications / prevention & control*
  • Risk Assessment
  • Vasodilator Agents / therapeutic use
  • Ventricular Function, Right / physiology*


  • Anesthetics
  • Vasodilator Agents