Regenerating a ventricular cavity during left ventricular assist device implantation
- 19 Downloads
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.
KeywordsHeart aneurysm Heart failure Heart-assist devices Reconstructive surgical procedures
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 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
- 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