Severe Dizziness and Syncope After HeartMate 3 Implantation Requiring Pump Exchange

Hiroshi Kagawa; Garrett Coyan; Katherine Davis; Arman Kilic; Gavin Hickey; Robert Kormos; Michael Mathier; Dennis Phillips; Christopher Sciortino

doi:10.1016/j.athoracsur.2019.01.067

Severe Dizziness and Syncope After HeartMate 3 Implantation Requiring Pump Exchange

Ann Thorac Surg. 2019 Sep;108(3):e149-e151. doi: 10.1016/j.athoracsur.2019.01.067. Epub 2019 Mar 7.

Authors

Hiroshi Kagawa¹, Garrett Coyan¹, Katherine Davis¹, Arman Kilic¹, Gavin Hickey², Robert Kormos¹, Michael Mathier², Dennis Phillips³, Christopher Sciortino⁴

Affiliations

¹ Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
² Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
³ Department of Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
⁴ Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. Electronic address: [email protected].

PMID: 30853589
DOI: 10.1016/j.athoracsur.2019.01.067

Abstract

Implantation of the HeartMate 3 (HM3) left ventricular assist device (Abbott Laboratories, Lake Bluff, IL) continues to increase as the results of European and U.S. clinical trials become available. Although the large trials adequately capture the more common and expected outcomes, rare and unexpected clinical complications will continue to appear with higher volumes of implantation. This report describes a rare complication of severe refractory postural dizziness and syncope after successful implantation of an HM3 in a patient who ultimately required pump exchange to a HeartWare HVAD (HeartWare, Framingham, MA) for resolution of symptoms.

Publication types

Case Reports

MeSH terms

Cardiac Output, Low / diagnosis
Cardiomyopathy, Dilated / complications*
Cardiomyopathy, Dilated / diagnostic imaging
Computed Tomography Angiography*
Device Removal
Dizziness / diagnosis
Dizziness / etiology
Echocardiography / methods
Equipment Failure
Follow-Up Studies
Heart-Assist Devices / adverse effects*
Humans
Imaging, Three-Dimensional
Male
Middle Aged
Postoperative Complications / diagnostic imaging
Postoperative Complications / surgery
Prosthesis Implantation / adverse effects
Prosthesis Implantation / methods
Reoperation / methods*
Severity of Illness Index
Syncope / diagnosis
Syncope / etiology
Treatment Outcome
Ventricular Dysfunction, Left / diagnostic imaging
Ventricular Dysfunction, Left / etiology
Ventricular Dysfunction, Left / surgery*