Surgical intervention for left ventricular assist device outflow graft obstruction due to external compression.
LVAD
Left ventricular outflow tract obstruction
Outflow graft
Journal
Multimedia manual of cardiothoracic surgery : MMCTS
ISSN: 1813-9175
Titre abrégé: Multimed Man Cardiothorac Surg
Pays: England
ID NLM: 101495626
Informations de publication
Date de publication:
12 Oct 2023
12 Oct 2023
Historique:
medline:
13
10
2023
pubmed:
12
10
2023
entrez:
12
10
2023
Statut:
epublish
Résumé
Left ventricular assist device outflow graft obstruction is an uncommon but serious complication. The causes of left ventricular assist device outflow graft obstruction include thrombus, outflow graft kink or torsion and external compression. The HeartMate 3 left ventricular assist device was reported to have a low risk of thromboembolic events. However, the deposition of bio-debris between the semi-permeable left ventricular assist device outflow graft and the impermeable bend relief has been increasingly recognized as a cause of external compression. The potential treatment options include percutaneous insertion of a stent, surgical removal of the bio-debris, change of left ventricular assist device, and an urgent heart transplant. We report a case of left ventricular assist device outflow graft compression successfully treated by removal of the bio-debris via a subxiphoid approach.
Identifiants
pubmed: 37823383
doi: 10.1510/mmcts.2023.042
doi:
Types de publication
Case Reports
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© The Author 2023. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.