Unusual complications following left ventricular assisted device implantation: case series
Open Access
- 6 April 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Journal of Cardiothoracic Surgery
- Vol. 16 (1), 1-6
- https://doi.org/10.1186/s13019-021-01445-7
Abstract
While left ventricular assisted devices (LVAD) have revolutionized the treatment of advanced heart failure, they are associated with a wide range of complications, including bleeding and infection which are the most common complications reported in the literature. Our case series report four unusual complications not related to gastrointestinal bleeding and infections and their management. A 61 year old female after LVAD implantation with late onset of severe symptomatic aortic regurgitation treated by transfemoral transcatheter valve implantation (TAVI) with good long term results. A 75 year old male patient with acute pump failure secondary to cable damage, who underwent urgent pump replacement. A 49 year old female patient with a history of myoma who developed massive uterine bleeding which was treated with emergent open hysterectomy after failed gonadotropin-releasing hormone therapy replacement. A 57 year old male patient with device display failure 1 month after LVAD implantation without the ability to monitor speed, power consumption and blood flow. LVAD patients can be presented with a great variety of complications. Physicians should be aware of their manifestations and the management options.Keywords
This publication has 16 references indexed in Scilit:
- Late Aortic Insufficiency Related to Poor Prognosis During Left Ventricular Assist Device SupportThe Annals of Thoracic Surgery, 2011
- Trans-catheter closure of the native aortic valve with an Amplatzer® Occluder to treat progressive aortic regurgitation after implantation of a left-ventricular assist deviceEuropean Journal of Cardio-Thoracic Surgery, 2011
- Randomised comparison of uterine artery embolisation (UAE) with surgical treatment in patients with symptomatic uterine fibroids (REST trial): 5-year resultsBJOG: An International Journal of Obstetrics and Gynaecology, 2011
- The Development of Aortic Insufficiency in Left Ventricular Assist Device-Supported PatientsCirculation: Heart Failure, 2010
- Improving outcomes with long-term “destination” therapy using left ventricular assist devicesThe Journal of Thoracic and Cardiovascular Surgery, 2008
- Adverse effects of pneumoperitoneum on renal function: involvement of the endothelin and nitric oxide systemsAmerican Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 2008
- Cerebrovascular accidents in patients with a ventricular assist deviceThe Journal of Thoracic and Cardiovascular Surgery, 2007
- Coagulation disorders as the cause of menorrhagia in adolescentsInternational Journal of Adolescent Medicine and Health, 2004
- Hysterectomy rates in the United States 1990–1997Obstetrics & Gynecology, 2002
- Long-Term Use of a Left Ventricular Assist Device for End-Stage Heart FailureThe New England Journal of Medicine, 2001