Lawn Mower Versus Left Ventricular Assist Device: A Case of Traumatic Coronary Injury

Vishal N Rao; Marat Fudim; Andrew Griffin; Jennifer A Rymer; W Schuyler Jones; Lynne M H Koweek; Tony P Smith; Daniele Marin; Adam D DeVore

doi:10.1016/j.jaccas.2019.12.036

Lawn Mower Versus Left Ventricular Assist Device: A Case of Traumatic Coronary Injury

JACC Case Rep. 2020 Mar 18;2(3):406-410. doi: 10.1016/j.jaccas.2019.12.036. eCollection 2020 Mar.

Authors

Vishal N Rao¹, Marat Fudim¹, Andrew Griffin², Jennifer A Rymer¹, W Schuyler Jones¹, Lynne M H Koweek², Tony P Smith², Daniele Marin², Adam D DeVore¹

Affiliations

¹ Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
² Department of Radiology, Duke University Medical Center, Durham, North Carolina.

Abstract

A 77-year-old man with history of ischemic cardiomyopathy and left ventricular assist device (LVAD) presented with abdominal pain after a lawn mower accident. Examination and imaging revealed a displaced LVAD driveline and a pericardial hematoma secondary to traumatic coronary artery injury. The patient was treated with coronary artery coil embolization. (Level of Difficulty: Advanced.).

Keywords: CT, computed tomography; ICD, implantable cardioverter-defibrillator; LAD, left anterior descending artery; LVAD, left ventricular assist device; RCA, right coronary artery; cardiac assist devices; cardiomyopathy; computed tomography; coronary vessel anomaly; left ventricular assist device; percutaneous coronary intervention.

Publication types

Case Reports