Right ventricular failure after left ventricular assist device implantation with concomitant pulmonary embolectomy needing right ventricular assist device support in a patient with terminal heart failure and asymptomatic pulmonary thrombus

Interact Cardiovasc Thorac Surg. 2010 Jan;10(1):154-5. doi: 10.1510/icvts.2009.215962. Epub 2009 Oct 15.

Abstract

We present a case in which a left ventricular assist device (LVAD) was implanted in a patient with terminal heart failure and preoperatively diagnosed asymptomatic thrombus in the right pulmonary artery. LVAD implantation was performed with concomitant thromboembolectomy in deep hypothermic circulatory arrest (DHCA) and intra-operatively right ventricular assist device (RVAD) implantation for the treatment of acute right ventricular failure became necessary. The patient was weaned from the RVAD after eight days of support.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiopulmonary Bypass
  • Circulatory Arrest, Deep Hypothermia Induced
  • Embolectomy* / adverse effects
  • Heart Failure / complications
  • Heart Failure / physiopathology
  • Heart Failure / therapy*
  • Heart-Assist Devices*
  • Hemodynamics
  • Humans
  • Male
  • Pulmonary Artery / physiopathology
  • Pulmonary Artery / surgery*
  • Sternotomy
  • Thrombosis / etiology
  • Thrombosis / physiopathology
  • Thrombosis / surgery*
  • Treatment Outcome
  • Ventricular Dysfunction, Left / etiology
  • Ventricular Dysfunction, Left / physiopathology
  • Ventricular Dysfunction, Left / therapy*
  • Ventricular Dysfunction, Right / etiology
  • Ventricular Dysfunction, Right / physiopathology
  • Ventricular Dysfunction, Right / therapy*