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

Journal of Cardiothoracic Surgery

Toufan Bahrami³  André R Simon³  Thorsten Wahlers¹  Mohamed Amrani³  Javid Fatullayev¹  Diana García Sáez³  Aron-Frederik Popov²  Prashant N Mohite³  Benjamin A Högerle³  Anton Sabashnikov¹ 

[1] Department of Cardiothoracic Surgery, Heart Center, Univesity Hospital of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany;Department for Cardiothoracic and Vascular Surgery, University of Göttingen, Robert-Koch-Strasse 40, 37075, Göttingen, Germany;Department of Cardiothoracic Transplantation & Mechanical Support, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Hill End Road, Harefield, Middlesex, United Kingdom UB9 6JH

关键词: Bridge to recovery;    Stroke;    LVAD thrombosis;    Left ventricular assist device (LVAD);   

Others  :  812173
DOI  :  10.1186/1749-8090-8-233

 received in 2013-09-30, accepted in 2013-12-26,  发布年份 2013

【 摘 要 】

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.

【 授权许可】

   
2013 Sabashnikov et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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