LVAD with concomitant rapid deployment valve implantation – a case report

Journal of Cardiothoracic Surgery

  ^{1    1    1    1    2} 

[1] 0000 0001 0491 7842, grid.416565.5, Division of Cardiac Surgery, Center for Advanced Heart Failure, Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital, 201 E Huron St, Suite 11-140, Il, 60611, Chicago, IL, USA;0000 0001 2299 3507, grid.16753.36, Division of Cardiology, Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital, Chicago, IL, USA;

关键词: Left ventricular assist device;    Aortic valve replacement;    Rapid deployment valve;    Mechanical circulatory support;   

DOI  :  10.1186/s13019-019-0944-5

来源: publisher

【 摘 要 】

BackgroundAortic valve insufficiency can have significant hemodynamic consequences for patients with left ventricular assist devices. A circulation loop can limit systemic blood flow and increase left ventricular filling pressure.Case presentationA 64-year-old male with non-ischemic dilated cardiomyopathy underwent Heartware™ HVAD left ventricular assist device implantation with successful concomitant aortic valve replacement with an Edwards Intuity rapid deployment prosthetic valve.ConclusionsThe use of this rapid deployment valve may have benefits over other techniques including shorter cross clamp times during surgery, intermediate-long term durability, and preservation of aortic valve opening to allow for potential ventricular recovery. The Intuity rapid deployment valve should thus be considered a viable and suitable option for aortic insufficiency intervention during LVAD implantation.

【 授权许可】

CC BY