Key result
An aggressive surgical approach to debride the left ventricular cavity of trabeculations allowed for successful implantation of a left ventricular assist device in a patient with LVNC.
Why the study?
Does surgical debridement of LV trabeculations enable successful LVAD implantation in a patient with left ventricular noncompaction?
Case Report (n=1)
Does surgical debridement of LV trabeculations enable successful LVAD implantation in a patient with left ventricular noncompaction?
Surgical debridement of LV trabeculations may be a viable approach to facilitate LVAD implantation in patients with left ventricular noncompaction.
May enable LVAD implantation after trabecular debridement in LVNC; hypothesis-generating and requires prospective validation before broader adoption.
Left ventricular noncompaction (LVNC) may result in systolic left ventricular (LV) failure resulting in the need for heart transplantation. LV assist devices (LVAD) have been used to bridge these patients to transplantation; however, the extensive trabeculations found in these patients predispose them to thromboembolic events and pump thrombosis. We describe a patient with LVNC in whom an aggressive surgical approach was used to debride the LV cavity of trabeculations to successfully implant an LVAD.
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Balsara et al. (2017) conducted a case report in Left ventricular noncompaction (LVNC) with systolic LV failure (n=1). LVAD implantation with aggressive surgical debridement of LV cavity trabeculations was evaluated on Successful LVAD implantation. An aggressive surgical approach to debride the left ventricular cavity of trabeculations allowed for successful implantation of a left ventricular assist device in a patient with LVNC.
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