A Rare Complication of HVAD Outflow Thrombosis and the Importance of HVAD Waveform Analysis

We present a case of a 64-year-old female who was supported with an HVAD as bridge-to-transplant (BTT) who presented with a gastrointestinal (GI) bleeding and underwent esophagogastroduodenoscopy (EGD) and colonoscopy. Her waveforms changed abruptly following the procedure, and she decompensated. Wi...

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Detalles Bibliográficos
Autores principales: Ning, John, Gaglianello, Nunzio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815617/
https://www.ncbi.nlm.nih.gov/pubmed/31737373
http://dx.doi.org/10.1155/2019/6905397
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author Ning, John
Gaglianello, Nunzio
author_facet Ning, John
Gaglianello, Nunzio
author_sort Ning, John
collection PubMed
description We present a case of a 64-year-old female who was supported with an HVAD as bridge-to-transplant (BTT) who presented with a gastrointestinal (GI) bleeding and underwent esophagogastroduodenoscopy (EGD) and colonoscopy. Her waveforms changed abruptly following the procedure, and she decompensated. With various imaging modalities and hemodynamic monitoring, we felt that she had thrombus in her outflow graft, which improved following systemic heparinization. She was listed for cardiac transplantation and remained hospitalized. At the time of surgery, her outflow graft was noted to be compressed externally and pathology was consistent with platelet-fibrin thrombus deposition.
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spelling pubmed-68156172019-11-17 A Rare Complication of HVAD Outflow Thrombosis and the Importance of HVAD Waveform Analysis Ning, John Gaglianello, Nunzio Case Rep Cardiol Case Report We present a case of a 64-year-old female who was supported with an HVAD as bridge-to-transplant (BTT) who presented with a gastrointestinal (GI) bleeding and underwent esophagogastroduodenoscopy (EGD) and colonoscopy. Her waveforms changed abruptly following the procedure, and she decompensated. With various imaging modalities and hemodynamic monitoring, we felt that she had thrombus in her outflow graft, which improved following systemic heparinization. She was listed for cardiac transplantation and remained hospitalized. At the time of surgery, her outflow graft was noted to be compressed externally and pathology was consistent with platelet-fibrin thrombus deposition. Hindawi 2019-10-13 /pmc/articles/PMC6815617/ /pubmed/31737373 http://dx.doi.org/10.1155/2019/6905397 Text en Copyright © 2019 John Ning and Nunzio Gaglianello. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ning, John
Gaglianello, Nunzio
A Rare Complication of HVAD Outflow Thrombosis and the Importance of HVAD Waveform Analysis
title A Rare Complication of HVAD Outflow Thrombosis and the Importance of HVAD Waveform Analysis
title_full A Rare Complication of HVAD Outflow Thrombosis and the Importance of HVAD Waveform Analysis
title_fullStr A Rare Complication of HVAD Outflow Thrombosis and the Importance of HVAD Waveform Analysis
title_full_unstemmed A Rare Complication of HVAD Outflow Thrombosis and the Importance of HVAD Waveform Analysis
title_short A Rare Complication of HVAD Outflow Thrombosis and the Importance of HVAD Waveform Analysis
title_sort rare complication of hvad outflow thrombosis and the importance of hvad waveform analysis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815617/
https://www.ncbi.nlm.nih.gov/pubmed/31737373
http://dx.doi.org/10.1155/2019/6905397
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