Repair of Dissecting Aortic Aneurysm in Post-LVAD Patient
Sanjay Chaubey, Parag Kale, Dan Meyer, Aldo Rafael
TL;DR
This paper discusses a case where a patient with a heart failure device developed a serious aortic issue requiring complex surgery.
Contribution
The paper presents a novel clinical case highlighting risks of continuous flow LVADs on aortic health.
Findings
A patient with a HeartMate 3 LVAD developed a dissecting aortic aneurysm.
The case required high-risk re-operative surgery due to the dissection.
The impact of continuous flow LVADs on aortic integrity remains poorly understood.
Abstract
Left ventricular assist devices (LVAD) are frequently used in the management of end-stage heart failure, especially given the limited availability of donor hearts. The latest HeartMate 3 LVAD delivers non-physiological continuous flow (CF), although the impact on the aorta is not well established. We highlight a case of aortic aneurysm formation complicated by dissection formation that necessitated high-risk re-operative surgery in a patient post CF-LVAD.
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Taxonomy
TopicsAortic Disease and Treatment Approaches · Aortic aneurysm repair treatments · Infectious Aortic and Vascular Conditions