Radakovic D, Penov K, Güder G, Aleksic I. Left Ventricular Assist Device Implantation in a Patient with Ventricular Pseudoaneurysm.
Thorac Cardiovasc Surg Rep 2022;
11:e11-e13. [PMID:
35127331 PMCID:
PMC8807110 DOI:
10.1055/s-0041-1741554]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 09/13/2021] [Indexed: 11/08/2022] Open
Abstract
Background
Left ventricular assist device (LVAD) implantation after contained LV rupture (pseudoaneurysm) represents a difficult surgical problem.
Case Description
We describe the surgical approach for such a patient. The sewing ring was implanted utilizing a Dacron patch for reconstruction of the free wall, fibrotic LV wall remnants, and a Teflon strip giving additional support for cannula position and hemostasis. The patient had an uneventful recovery and is well 19 months after the procedure.
Conclusion
LV pseudoaneurysm is not a contraindication for permanent LVAD implantation.
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