Endovascular treatment of an anastomotic outflow graft pseudoaneurysm of the descending aorta after implantation of a left ventricular assist device

J Card Surg. 2020 Nov;35(11):3195-3198. doi: 10.1111/jocs.14929. Epub 2020 Aug 2.

Abstract

Introduction: Outflow graft (OG) obstruction is a dangerous complication that may occur for various reasons after the implantation of the left ventricular assist device (LVAD).

Case report: In this study, we describe the case of a 67-year-old patient on LVAD support who developed a late pseudoaneurysm of the OG anastomosis (to the descending aorta) causing OG stenosis at the level of the anastomosis. The patient was treated with a customized fenestrated endovascular stent graft placed into the descending aorta and stent implantation into the OG.

Keywords: LVAD; endovascular; pseudoaneurysm; stenting.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anastomosis, Surgical / adverse effects*
  • Aneurysm, False / etiology*
  • Aneurysm, False / surgery*
  • Aorta, Thoracic / surgery*
  • Endovascular Procedures / methods*
  • Heart-Assist Devices / adverse effects*
  • Humans
  • Male
  • Postoperative Complications / etiology*
  • Postoperative Complications / surgery*
  • Prosthesis Implantation / adverse effects*
  • Stents*
  • Treatment Outcome
  • Ventricular Outflow Obstruction / etiology*
  • Ventricular Outflow Obstruction / surgery*