This case highlights the importance of recognizing atypical presentations of cardiac tamponade in patients with temporary LVADs using multimodality imaging.
Alerts clinicians to atypical tamponade features during temporary LVAD support; leaves open validation of multimodality imaging criteria in prospective studies.
Postoperative bleeding and tamponade are considered major complications after implantation of left ventricular assist devices. Firstly, 40% of patients supported by ventricular assist devices experience early postoperative bleeding, and 20% developed tamponade requiring re-exploration. Secondly, we present a case of a patient with tamponade, on temporary left ventricular assist device (LVAD) support with atypical hemodynamic and echocardiographic manifestations demonstrated with computed tomography (CT)-M mode, conventional Doppler, color Doppler and echo imaging.
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Topilsky et al. (2011) studied this question.
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