Left Ventricular Assist Device Implantation in a Patient with Ventricular Pseudoaneurysm

Background  Left ventricular assist device (LVAD) implantation after contained LV rupture (pseudoaneurysm) represents a difficult surgical problem. Case Description  We describe the surgical approach for such a patient. The sewing ring was implanted utilizing a Dacron patch for reconstruction of the...

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Detalles Bibliográficos
Autores principales: Radakovic, Dejan, Penov, Kiril, Güder, Gülmisal, Aleksic, Ivan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8807110/
https://www.ncbi.nlm.nih.gov/pubmed/35127331
http://dx.doi.org/10.1055/s-0041-1741554
Descripción
Sumario:Background  Left ventricular assist device (LVAD) implantation after contained LV rupture (pseudoaneurysm) represents a difficult surgical problem. Case Description  We describe the surgical approach for such a patient. The sewing ring was implanted utilizing a Dacron patch for reconstruction of the free wall, fibrotic LV wall remnants, and a Teflon strip giving additional support for cannula position and hemostasis. The patient had an uneventful recovery and is well 19 months after the procedure. Conclusion  LV pseudoaneurysm is not a contraindication for permanent LVAD implantation.

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