Outflow Graft Obstruction due to Local Aortic Dissection After Implantation of Left Ventricle Assist Device (HeartMate 3).
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:
07 May 2024
07 May 2024
Historique:
medline:
10
5
2024
pubmed:
10
5
2024
entrez:
10
5
2024
Statut:
aheadofprint
Résumé
Left ventricular assist devices (LVADs) improve symptoms and outcomes in patients with advanced heart failure. We report the case of a patient with a freshly implanted HeartMate 3 LVAD, suffering abruptly on postoperative day 55 from pejoration of his heart failure with multiple episodes of low-flow alarm. Outflow graft obstruction (OGO) due to local aortic dissection was diagnosed with multimodality imaging. After a multidisciplinary discussion, a surgical approach was decided, and the patient benefited from a revision of his outflow graft.
Identifiants
pubmed: 38728741
doi: 10.1097/MAT.0000000000002222
pii: 00002480-990000000-00477
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the ASAIO.
Déclaration de conflit d'intérêts
Disclosure: The authors have no conflicts of interest to report.
Références
Truby LK, Rogers JG: Advanced heart failure: Epidemiology, diagnosis, and therapeutic approaches. JACC Heart Fail 8: 523–536, 2020.
Burke MA, Givertz MM: Assessment and management of heart failure after left ventricular assist device implantation. Circulation 129: 1161–1166, 2014.
Deveza Ricardo C, Doyle Mathew P, Schnegg B, et al.: Intermittent papillary muscle suction. JACC Case Rep 3: 1680–1684, 2021.
Mehra MR, Uriel N, Naka Y, et al.; MOMENTUM 3 Investigators: A fully magnetically levitated left ventricular assist device—Final report. N Engl J Med 380: 1618–1627, 2019.
Trankle CR, Grizzard JD, Shah KB, et al.: Left ventricular assist device outflow graft compression: Incidence, clinical associations and potential etiologies. J Card Fail 25: 545–552, 2019.
Agrawal A, Alexy T, Kamioka N, et al.: Outflow graft obstruction after left ventricular assist device implantation: A retrospective, single-centre case series. ESC Heart Fail 8: 2349–2353, 2021.