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Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient

Ventricular fibrillation, a life‐threatening ventricular arrhythmia, may result in pulselessness, loss of consciousness and sudden cardiac death. In this case report, we describe our experience in managing a 54‐year‐old man with HeartMate3 left ventricular assist device (LVAD) as a bridge to transpl...

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Autores principales: Abu Akel, Mahmood, Shaul, Aviv A., Goldenberg, Gustavo R., Barac, Yaron D., Ben‐Avraham, Binyamin, Gorfil, Dan, Aravot, Dan, Ben‐Gal, Tuvia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9715772/
https://www.ncbi.nlm.nih.gov/pubmed/35715959
http://dx.doi.org/10.1002/ehf2.13980
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author Abu Akel, Mahmood
Shaul, Aviv A.
Goldenberg, Gustavo R.
Barac, Yaron D.
Ben‐Avraham, Binyamin
Gorfil, Dan
Aravot, Dan
Ben‐Gal, Tuvia
author_facet Abu Akel, Mahmood
Shaul, Aviv A.
Goldenberg, Gustavo R.
Barac, Yaron D.
Ben‐Avraham, Binyamin
Gorfil, Dan
Aravot, Dan
Ben‐Gal, Tuvia
author_sort Abu Akel, Mahmood
collection PubMed
description Ventricular fibrillation, a life‐threatening ventricular arrhythmia, may result in pulselessness, loss of consciousness and sudden cardiac death. In this case report, we describe our experience in managing a 54‐year‐old man with HeartMate3 left ventricular assist device (LVAD) as a bridge to transplantation due to dilated non‐ischemic cardiomyopathy, presenting with incessant ventricular arrhythmia for 35 days despite multiple attempts to restore normal rhythm with external direct current cardioversion and anti‐arrhythmic medications. The patient remained stable in ventricular arrhythmia with no progression to asystole, but hemodynamic collapse due to right heart failure occurred in the third week. Combined use of two mechanical circulatory support devices (LVAD with VA ECMO) was needed to achieve haemodynamic and metabolic stability, eventually leading to successful heart transplantation in the index admission. The patient was discharged home 2 weeks after transplantation in good clinical condition.
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spelling pubmed-97157722022-12-05 Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient Abu Akel, Mahmood Shaul, Aviv A. Goldenberg, Gustavo R. Barac, Yaron D. Ben‐Avraham, Binyamin Gorfil, Dan Aravot, Dan Ben‐Gal, Tuvia ESC Heart Fail Case Reports Ventricular fibrillation, a life‐threatening ventricular arrhythmia, may result in pulselessness, loss of consciousness and sudden cardiac death. In this case report, we describe our experience in managing a 54‐year‐old man with HeartMate3 left ventricular assist device (LVAD) as a bridge to transplantation due to dilated non‐ischemic cardiomyopathy, presenting with incessant ventricular arrhythmia for 35 days despite multiple attempts to restore normal rhythm with external direct current cardioversion and anti‐arrhythmic medications. The patient remained stable in ventricular arrhythmia with no progression to asystole, but hemodynamic collapse due to right heart failure occurred in the third week. Combined use of two mechanical circulatory support devices (LVAD with VA ECMO) was needed to achieve haemodynamic and metabolic stability, eventually leading to successful heart transplantation in the index admission. The patient was discharged home 2 weeks after transplantation in good clinical condition. John Wiley and Sons Inc. 2022-06-17 /pmc/articles/PMC9715772/ /pubmed/35715959 http://dx.doi.org/10.1002/ehf2.13980 Text en © 2022 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Abu Akel, Mahmood
Shaul, Aviv A.
Goldenberg, Gustavo R.
Barac, Yaron D.
Ben‐Avraham, Binyamin
Gorfil, Dan
Aravot, Dan
Ben‐Gal, Tuvia
Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient
title Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient
title_full Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient
title_fullStr Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient
title_full_unstemmed Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient
title_short Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient
title_sort combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9715772/
https://www.ncbi.nlm.nih.gov/pubmed/35715959
http://dx.doi.org/10.1002/ehf2.13980
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