Pulmonary embolism and LVAD: is there compatibility?

The International Journal of Artificial Organs
Jonida BejkoTomaso Bottio

Abstract

A 41-year-old-male with diagnosis of dilated cardiomyopathy was referred to our hospital for heart failure, despite standard medical therapy, to evaluate indications for heart transplantation or mechanical cardiac support. Preoperative contrast computer tomography (CT) scan diagnosed pulmonary thrombosis of the left branch of the pulmonary artery. Treatment with low molecular weight heparin was established and the next day a thrombus-arteriectomy and Heartware (Heartware, Framingham, MA, USA) left ventricular assist device (LVAD) implantation were performed simultaneously. The patient was discharged home with oral anticoagulant and antiplatelet therapy, according to our center's VAD protocol. Currently, the patient has been assisted with the LVAD for the past 24 months. The CT scan confirmed the absence of pulmonary artery thrombosis.

References

Sep 26, 2003·The New England Journal of Medicine·Peter F Fedullo, Victor F Tapson
Jan 3, 2007·The Journal of Thoracic and Cardiovascular Surgery·Andrea M D'ArminiMario Viganò
Apr 18, 2007·The American Journal of Cardiology·Jesper KjaergaardChristian Hassager
Sep 1, 2014·European Heart Journal·Stavros V KonstantinidesUNKNOWN Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC)

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