{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:53:17Z","timestamp":1787025197301,"version":"build-2736575974"},"reference-count":22,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>End-stage heart failure due to dilated cardiomyopathy remains a major indication for advanced mechanical circulatory support and heart transplantation. Left ventricular assist devices have emerged as a vital bridge to transplant, improving survival and functional status. However, right ventricular failure following LVAD implantation is a significant and potentially fatal complication, requiring careful management to optimize outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We present the case of a 46-year-old male with post-myocarditis dilated cardiomyopathy, severely reduced left ventricular ejection fraction (21%), severe functional mitral and tricuspid regurgitation, and NYHA class IV heart failure. Despite optimal medical therapy, including inotropic support, the patient progressed to multiorgan dysfunction necessitating renal replacement therapy. A HeartMate 3 LVAD was implanted as a bridge to transplantation. The postoperative course was complicated by severe right ventricular failure, requiring prolonged inotropic support and careful hemodynamic management. Despite these challenges, the patient successfully underwent orthotopic heart transplantation. His postoperative evolution was favorable, with stable graft function and good clinical recovery documented during follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Right ventricular failure remains a major complication following LVAD implantation, significantly impacting outcomes. While LVADs have revolutionized the management of end-stage heart failure, heart transplantation continues to represent the definitive therapy offering superior long-term survival.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2478\/jccm-2025-0038","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T18:03:30Z","timestamp":1771265010000},"page":"102-109","source":"Crossref","is-referenced-by-count":1,"title":["Right ventricular failure after LVAD support: A challenging case of bridge to heart transplantation in end-stage dilated cardiomyopathy"],"prefix":"10.2478","volume":"12","author":[{"given":"Horatiu","family":"Suciu","sequence":"first","affiliation":[{"name":"Department of Surgery IV , George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures , Romania"},{"name":"Department of Cardiovascular Surgery , Emergency Institute for Cardiovascular Diseases and Transplantation Targu Mures , Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuel-David","family":"Anitei","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery , Emergency Institute for Cardiovascular Diseases and Transplantation Targu Mures , Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Calburean","sequence":"additional","affiliation":[{"name":"Department of Cardiology , Emergency Institute for Cardiovascular Diseases and Transplantation Targu Mures , Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marius Mihai","family":"Harpa","sequence":"additional","affiliation":[{"name":"Department of Surgery IV , George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures , Romania"},{"name":"Department of Cardiovascular Surgery , Emergency Institute for Cardiovascular Diseases and Transplantation Targu Mures , Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"2026021620211800646_j_jccm-2025-0038_ref_001","doi-asserted-by":"crossref","unstructured":"Savarese G, Becher PM, Lund LH, Seferovic P, Rosano GMC, Coats AJS. Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovasc Res. 2022 Dec;118(17):3272\u20133287.","DOI":"10.1093\/cvr\/cvac013"},{"key":"2026021620211800646_j_jccm-2025-0038_ref_002","doi-asserted-by":"crossref","unstructured":"Beghini A, Sammartino AM, Papp Z, von Haehling S, Biegus J, Ponikowski P, et al. 2024 update in heart failure. ESC Heart Fail. 2025;12(1):8\u201342.","DOI":"10.1002\/ehf2.14857"},{"key":"2026021620211800646_j_jccm-2025-0038_ref_003","doi-asserted-by":"crossref","unstructured":"Bozkurt B, Ahmad T, Alexander KM, Baker WL, Bosak K, Breathett K, et al. Heart failure epidemiology and outcomes statistics: a report of the Heart Failure Society of America. J Card Fail. 2023;29(10):1412\u20131451.","DOI":"10.1016\/j.cardfail.2023.07.006"},{"key":"2026021620211800646_j_jccm-2025-0038_ref_004","doi-asserted-by":"crossref","unstructured":"Miller LW, Guglin M. Patient selection for ventricular assist devices: a moving target. 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