Rapidly Enlarging Abdominal Aortic Aneurysm Requiring Endovascular Repair After LVAD Placement

Peter J Kennel; Thomas F O'Donnell; Koji Takeda; Yuji Kaku; Gabriel Sayer; Nir Uriel; Virendra I Patel; Melana Yuzefpolskaya; Paolo C Colombo

doi:10.1016/j.atssr.2023.07.010

Rapidly Enlarging Abdominal Aortic Aneurysm Requiring Endovascular Repair After LVAD Placement

Ann Thorac Surg Short Rep. 2023 Aug 12;1(4):616-618. doi: 10.1016/j.atssr.2023.07.010. eCollection 2023 Dec.

Authors

Peter J Kennel¹, Thomas F O'Donnell², Koji Takeda³, Yuji Kaku³, Gabriel Sayer¹, Nir Uriel¹, Virendra I Patel², Melana Yuzefpolskaya¹, Paolo C Colombo¹

Affiliations

¹ Center for Advanced Cardiac Care, Columbia University Irving Medical Center, New York, New York.
² Division of Vascular Surgery and Endovascular Interventions, Columbia University Irving Medical Center, New York, New York.
³ Division of Cardiac, Thoracic & Vascular Surgery, Columbia University Irving Medical Center, New York, New York.

Abstract

A 67-year-old man with medical history of ischemic cardiomyopathy with stage D heart failure and infrarenal abdominal aortic aneurysm underwent implantation of a left ventricular assist device (LVAD). Three months after the procedure, he presented with unrelenting back pain and a rapidly increased in size aneurysm. The patient underwent urgent endovascular aneurysm repair with uncomplicated recovery. Growing experience with current-generation LVADs led to the recognition of a novel type of vasculopathy: LVAD-induced aortopathy and a preexisting aortopathy may rapidly progress after LVAD placement.

Publication types

Case Reports