An 80-year-old man with a destination left ventricular assist device (LVAD) presented with decompensated heart failure. Evaluation demonstrated numerous LVAD high power spike events, significant aortic regurgitation, and hemolysis. He underwent successful aortic valve replacement with a novel transcatheter valve and LVAD pump exchange that resulted in an improvement in his clinical status. (Level of Difficulty: Advanced.).
Keywords: AR, aortic regurgitation; CO, cardiac output; CTA, computed tomography angiography; LVAD, left ventricular assist device; LVEDD, left ventricular end diastolic dimension; NYHA, New York Heart Association; PA, pulmonary artery; PCWP, pulmonary capillary wedge pressure; RA, right atrial; RV, right ventricular; TAVR; TAVR, transcatheter aortic valve replacement; TEE, transesophageal echocardiogram; THV, transcatheter heart valve; TTE, transthoracic echocardiogram; aortic regurgitation.
© 2021 The Authors.