Advertisement

Regenerating a ventricular cavity during left ventricular assist device implantation

  • Ozge AltasEmail author
  • Tanil Ozer
  • Mustafa Mert Ozgur
  • Sabit Sarikaya
  • Kaan Kirali
Case Report Artificial Heart (Clinical)
  • 19 Downloads

Abstract

Ten months after an ineffective percutaneous coronary stent placement, a 53-year-old patient was rehospitalized with NYHA functional class IV congestive heart failure, ischemic heart disease and left ventricular aneurysm. Echocardiography revealed thrombus formation in the left ventricle with apical aneurysm. Even though left ventricular assist device (LVAD) implantation improves quality of patients’ lives with an increase of its overall use, it becomes more complicated in the presence of ventricular thrombus. We decided to perform ventricular reconstruction with thrombus extraction concomitant to HeartMate 3™ LVAD implantation. The patient was recovered uneventfully, and discharged on postoperative day 14. This report shares the patient’s case and the surgical procedure.

Keywords

Heart aneurysm Heart failure Heart-assist devices Reconstructive surgical procedures 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Kirklin JK, Naftel DC, Pagani FD, Kormos RL, Stevenson LW, Blume ED, et al. Seventh INTERMACS annual report: 15,000 patients and counting. J Heart Lung Transpl. 2015;34:1495–504.Google Scholar
  2. 2.
    Wilensky RL, Jung SC. Thromboembolism in patients with decreased left ventricular function: incidence, risk, and treatment. J Cardiovasc Risk. 1995;2:91–6.CrossRefGoogle Scholar
  3. 3.
    Diet F, Erdmann E. Thromboembolism in heart failure: who should be treated? Eur J Heart Fail. 2000;2:355–63.CrossRefGoogle Scholar
  4. 4.
    Fatullayev J, Butters T, Sabashnikov A, Garcia Saez D, Mohite PN, Edwards G, Hoegerle B, et al. Left ventricular assist device implantation with concomitant left ventricular reconstruction without patchplasty. J Artif Organs. 2014;17:370–2.CrossRefGoogle Scholar
  5. 5.
    Smith JW, Pal JD, Walters D, Mahr CM, Mokadam NA. Left ventricular assist device placement with concomitant ventricular reconstruction for aneurysmal disease. J Heart Lung Transpl. 2016;35:372.CrossRefGoogle Scholar
  6. 6.
    Chernyavskiy AM, Marchenko AV, Lomivorotov V, Doronin D, Alsov SA, Nesmachnyy A. Left ventricular assist device implantation combined with surgical ventricular reconstruction. Tex Heart Inst J. 2012;39:627–9.Google Scholar
  7. 7.
    Cherniavsky AM, Karaskov AM, Marchenko AV, Mikova NV. Preoperative modeling of an optimal left ventricle volume for surgical treatment of ventricular aneurysms. Eur J Cardiothorac Surg. 2001;20:777–82.CrossRefGoogle Scholar
  8. 8.
    Palmen M, Braun J, Beeres SL, Klautz RJ. Left ventricular assist device implantation in patients after left ventricular reconstruction. Interact Cardiovasc Thorac Surg. 2016;23:979–81.CrossRefGoogle Scholar
  9. 9.
    Garbade J, Bittner HB, Barten MJ, Rastan A, Lehmann S, Mohr FW, et al. Combined surgical left ventricular reconstruction and left ventricular assist device implantation for destination therapy in end-stage heart failure. Circ Heart Fail. 2011;4:e14–5.CrossRefGoogle Scholar
  10. 10.
    Kervan U, Unal EU, Sert DE, Pac M. Heartware left ventricular assist device implantation combined with surgical ventricular reconstruction. Exp Clin Transpl. 2016.  https://doi.org/10.6002/ect.2016.0056.Google Scholar

Copyright information

© The Japanese Society for Artificial Organs 2019

Authors and Affiliations

  1. 1.Department of Cardiovascular SurgeryKosuyolu Heart Training and Research HospitalIstanbulTurkey

Personalised recommendations