Intraoperative pump thrombosis (PT) in HeartMate (HM) III

Sathappan Karuppiah; Sudharsan Setty; Ranjit John; Monica Lupei

doi:10.1111/jocs.16941

Intraoperative pump thrombosis (PT) in HeartMate (HM) III

J Card Surg. 2022 Nov;37(11):3912-3915. doi: 10.1111/jocs.16941. Epub 2022 Sep 18.

Authors

Sathappan Karuppiah¹, Sudharsan Setty¹, Ranjit John², Monica Lupei¹

Affiliations

¹ Department of Anesthesiology, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
² Department of Surgery, Division of Cardiothoracic Surgery, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.

Abstract

Pump thrombosis (PT) is a rare and infrequent complication of HeartMate III left ventricular assist device (LVAD). While there are reports of PT in the postoperative period, to our knowledge, there have been no prior reports on PT in the intraoperative period. Here we present a case of a 24-year-old female who required HeartMate III LVAD implantation for progressive heart failure and the intraoperative period was complicated with PT. Managing PT in the intraoperative period is challenging and time-sensitive because of its rare occurrence and paucity of recommendations in diagnosing the PT.

Keywords: HeartMate III; LVAD; pump thrombosis; transesophageal echocardiogram.

Publication types

Case Reports

MeSH terms

Adult
Female
Heart Failure* / etiology
Heart Failure* / surgery
Heart-Assist Devices* / adverse effects
Humans
Retrospective Studies
Thrombosis* / etiology
Young Adult