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right-sided or right ventricular heart failure usually occurs as a result of left-sided failure but can also be the result of a heart attack that damage the right ventricle when the left ventricle weakens increased fluid pressure forces blood back through the lungs damaging the hearts right side reducing the pumping power when the right side of the heart loses pumping power fluid backs up in the bodys veins usually causing swelling in the feet ankles and lower legs