Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy.
Journal
ASAIO journal (American Society for Artificial Internal Organs : 1992)
ISSN: 1538-943X
Titre abrégé: ASAIO J
Pays: United States
ID NLM: 9204109
Informations de publication
Date de publication:
01 09 2021
01 09 2021
Historique:
pubmed:
29
12
2020
medline:
26
11
2021
entrez:
28
12
2020
Statut:
ppublish
Résumé
Ventricular assist device (VAD) management continues to be a challenge in the presence of restrictive physiology. Left atrial (LA) decompression is not satisfactory even with good function and position of the left ventricular cannula. We describe an alternate approach with LA cannulation via the left atrial appendage (LAA) as a rescue strategy in a patient who had restrictive physiology, in our case was secondary to viral myocarditis acute systolic heart failure with subsequent insidious diffuse endomyocardial fibrosis and superimposed massive calcification, causing inadequate emptying of the left ventricle despite optimal VAD apical cannula position.
Identifiants
pubmed: 33369930
doi: 10.1097/MAT.0000000000001330
pii: 00002480-202109000-00021
pmc: PMC8404960
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e157-e159Informations de copyright
Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the ASAIO.
Déclaration de conflit d'intérêts
Disclosure: SMS is a consultant for Cryolife. The other authors have no conflicts of interest to report.
Références
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Maeda K, Nasirov T, Rosenthal DN, Dykes JC: An alternative approach by heartware ventricular assist device in hypertrophic cardiomyopathy. Ann Thorac Surg 2018.106: e231–e232.