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Temporary RV support was common in the study cohort (35%) using either extracorporeal life support (ECLS, 37%) or a temporary RV assist device (RVAD, 63%). A less invasive (LIS) implantation technique was pursued in 12%. Thirty-day mortality was comparable between those with and without concomitant surgery (4% 6%, P=0.426). In-hospital mortality was significantly higher for additional interventions (22% 14%, P=0.05), whereas one-year survival was similar (71% 79%, P=0.106). Concomitant cardiac procedures, especially tricuspid and aortic