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In patients with an akinetic ventricle supported by a VAD, positioning the atrial cannula tip across the mitral valve to decompress the ventricle may prevent systemic embolization.
A case of systemic embolization arising from an akinetic left ventricle in a peripartum cardiomyopathy patient supported with the Abiomed BVS-5000 ventricular assist device is reported. In an akinetic ventricle, prevention of blood stasis by positioning the atrial cannula tip across the mitral valve to decompress the ventricle may prevent this complication.
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Goldstein et al. (1996) studied this question.
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