Successful bridge to recovery using two-stage HeartWare LVAD explantation approach after embolic stroke.

Autor: Sabashnikov A; Department of Cardiothoracic Transplantation & Mechanical Support, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Hill End Road, Harefield, Middlesex, United Kingdom UB9 6JH. A.Sabashnikov@rbht.nhs.uk., Högerle BA, Mohite PN, Popov AF, Sáez DG, Fatullayev J, Amrani M, Wahlers T, Simon AR, Bahrami T
Jazyk: angličtina
Zdroj: Journal of cardiothoracic surgery [J Cardiothorac Surg] 2013 Dec 30; Vol. 8, pp. 233. Date of Electronic Publication: 2013 Dec 30.
DOI: 10.1186/1749-8090-8-233
Abstrakt: A two-stage explantation of a left ventricular assist device (LVAD) was performed on 47 year old afro-american gentlemen with non-ischemic dilated cardiomyopathy (DCM) who was successfully bridged to recovery. After he suffered a stroke caused by a VAD thrombosis with embolisation, the VAD outflow graft was first ligated using minimally-invasive approach. Two months later, the device was explanted and a manufactured titanium plug was placed into the sewing ring. This stepwise procedure might be beneficial in cases of high thromboembolic risk and in patients who suffered a thromboembolic event previously.
Databáze: MEDLINE