Successful bridge to recovery using two-stage HeartWare LVAD explantation approach after embolic stroke

A two-stage explantation of a left ventricular assist device (LVAD) was performed on 47 year old afro-american gentlemen with non-ischemic dilated cardiomyopathy (DCM) who was successfully bridged to recovery. After he suffered a stroke caused by a VAD thrombosis with embolisation, the VAD outflow g...

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Detalles Bibliográficos
Autores principales: Sabashnikov, Anton, Högerle, Benjamin A, Mohite, Prashant N, Popov, Aron-Frederik, Sáez, Diana García, Fatullayev, Javid, Amrani, Mohamed, Wahlers, Thorsten, Simon, André R, Bahrami, Toufan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3892123/
https://www.ncbi.nlm.nih.gov/pubmed/24377791
http://dx.doi.org/10.1186/1749-8090-8-233
Descripción
Sumario:A two-stage explantation of a left ventricular assist device (LVAD) was performed on 47 year old afro-american gentlemen with non-ischemic dilated cardiomyopathy (DCM) who was successfully bridged to recovery. After he suffered a stroke caused by a VAD thrombosis with embolisation, the VAD outflow graft was first ligated using minimally-invasive approach. Two months later, the device was explanted and a manufactured titanium plug was placed into the sewing ring. This stepwise procedure might be beneficial in cases of high thromboembolic risk and in patients who suffered a thromboembolic event previously.

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