Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy

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 lef...

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Autores principales: Marey, Gamal M., Said, Sameh M., Ameduri, Rebecca, Steiner, Marie E., Bowler, Michael, Loomis, Ashley, Jang, Subin, Griselli, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8404960/
https://www.ncbi.nlm.nih.gov/pubmed/33369930
http://dx.doi.org/10.1097/MAT.0000000000001330
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author Marey, Gamal M.
Said, Sameh M.
Ameduri, Rebecca
Steiner, Marie E.
Bowler, Michael
Loomis, Ashley
Jang, Subin
Griselli, Massimo
author_facet Marey, Gamal M.
Said, Sameh M.
Ameduri, Rebecca
Steiner, Marie E.
Bowler, Michael
Loomis, Ashley
Jang, Subin
Griselli, Massimo
author_sort Marey, Gamal M.
collection PubMed
description 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.
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spelling pubmed-84049602021-09-03 Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy Marey, Gamal M. Said, Sameh M. Ameduri, Rebecca Steiner, Marie E. Bowler, Michael Loomis, Ashley Jang, Subin Griselli, Massimo ASAIO J Case Reports 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. Lippincott Williams & Wilkins 2020-12-18 2021-09 /pmc/articles/PMC8404960/ /pubmed/33369930 http://dx.doi.org/10.1097/MAT.0000000000001330 Text en Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the ASAIO. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Reports
Marey, Gamal M.
Said, Sameh M.
Ameduri, Rebecca
Steiner, Marie E.
Bowler, Michael
Loomis, Ashley
Jang, Subin
Griselli, Massimo
Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy
title Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy
title_full Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy
title_fullStr Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy
title_full_unstemmed Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy
title_short Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy
title_sort berlin excor cannulation of left atrial appendage in left ventricular restrictive physiology: a novel bailout strategy
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8404960/
https://www.ncbi.nlm.nih.gov/pubmed/33369930
http://dx.doi.org/10.1097/MAT.0000000000001330
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