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Early LVAD Implantation in a Patient with Left Ventricular Failure after Aortic Dissection with Left Main Stem Involvement.
- Source :
-
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia [Ann Thorac Cardiovasc Surg] 2020 Feb 20; Vol. 26 (1), pp. 47-50. Date of Electronic Publication: 2018 May 21. - Publication Year :
- 2020
-
Abstract
- Background: Coronary involvement in aortic dissection heralds a poor outcome. Involvement of the left main stem may lead to left ventricular (LV) failure requiring mechanical circulatory support.<br />Case Report: A staged approach was applied in a 24-year-old female who suffered extensive infarction due to aortic dissection with left main stem involvement. After replacement of the ascending aorta and grafting of the left internal thoracic artery to the left anterior descending artery following a failed attempt at reconstruction of the left coronary ostium, she failed to wean from cardiopulmonary bypass (CPB) and underwent implantation of an extracorporeal life support (ECLS) system as a bridge to decision. Subsequent implantation of a left ventricular assist device (LVAD) as a bridge to recovery/transplantation was followed by an uneventful further course.<br />Conclusions: Our experience suggests that early implantation of a ventricular assist device (VAD) as bridge to recovery/transplantation is an alternative to prolonged ECLS in patients who suffered extensive myocardial infarction in the course of aortic dissection.
- Subjects :
- Aortic Dissection diagnostic imaging
Aortic Dissection surgery
Aortic Aneurysm diagnostic imaging
Aortic Aneurysm surgery
Blood Vessel Prosthesis Implantation
Coronary Artery Bypass
Coronary Artery Disease diagnostic imaging
Coronary Artery Disease physiopathology
Coronary Artery Disease surgery
Female
Heart Failure diagnostic imaging
Heart Failure etiology
Heart Failure physiopathology
Humans
Prosthesis Design
Recovery of Function
Time Factors
Treatment Outcome
Ventricular Dysfunction, Left diagnostic imaging
Ventricular Dysfunction, Left etiology
Ventricular Dysfunction, Left physiopathology
Young Adult
Aortic Dissection complications
Aortic Aneurysm complications
Coronary Artery Disease etiology
Heart Failure therapy
Heart-Assist Devices
Prosthesis Implantation instrumentation
Ventricular Dysfunction, Left therapy
Ventricular Function, Left
Subjects
Details
- Language :
- English
- ISSN :
- 2186-1005
- Volume :
- 26
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
- Publication Type :
- Report
- Accession number :
- 29780073
- Full Text :
- https://doi.org/10.5761/atcs.cr.17-00236