Aortic Root Thrombus Directly After Left Ventricular Assist Device Implantation

A 70-year-old female heart failure patient could not be weaned from temporary left ventricular mechanical support with Impella CP (Abiomed Inc, Danvers, MA) after myocardial infarction; therefore, she underwent left ventricular assist device implantation (HeartMate 3; Abbott, Chicago, IL). After une...

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Detalles Bibliográficos
Autores principales: Mork, Constantin, Pfister, Otmar, Koechlin, Luca, Scheifele, Simon, Morgen, Anne, Altwegg, Lukas, Heppel, David, Berdajs, Denis, Darwisch, Ayham, Kuehne, Michael, Reuthebuch, Oliver, Schurr, Ulrich, Siegemund, Martin, Eckstein, Friedrich, Santer, David, Zhou, Qian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8636229/
https://www.ncbi.nlm.nih.gov/pubmed/34888513
http://dx.doi.org/10.1016/j.cjco.2021.05.016
Descripción
Sumario:A 70-year-old female heart failure patient could not be weaned from temporary left ventricular mechanical support with Impella CP (Abiomed Inc, Danvers, MA) after myocardial infarction; therefore, she underwent left ventricular assist device implantation (HeartMate 3; Abbott, Chicago, IL). After uneventful surgery, the patient had an early postoperative thrombus in the aortic root, and surgical thrombectomy on extracorporeal circulation was performed on the seventh postoperative day. The patient recovered well and presented in good condition with no neurologic symptoms at the 6-month follow-up visit. Surgical excision of aortic root thrombus is a feasible option even for frail patients with a left ventricular assist device.

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