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Right Atrial Compression From Biodebris Associated With Long-Term Left Ventricular Assist Device Support

Biodebris surrounding HVAD (Medtronic) intrapericardial centrifugal-flow left ventricular assist device outflow cannulas is common and appears to accumulate over time. We recently encountered 2 patients on long-term HVAD support with right atrial compression from such biodebris, prompting a review o...

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Detalles Bibliográficos
Autores principales: Kwiatkowski, Sara G., Gertz, Zachary M., Grizzard, John D., Rezai Gharai, Leila, Tchoukina, Inna, Trankle, Cory R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9730033/
https://www.ncbi.nlm.nih.gov/pubmed/36507294
http://dx.doi.org/10.1016/j.jaccas.2022.08.047
Descripción
Sumario:Biodebris surrounding HVAD (Medtronic) intrapericardial centrifugal-flow left ventricular assist device outflow cannulas is common and appears to accumulate over time. We recently encountered 2 patients on long-term HVAD support with right atrial compression from such biodebris, prompting a review of our institution’s HVAD cohort to better understand this phenomenon. (Level of Difficulty: Intermediate.)