Key result
LVAD implantation with concomitant aortic valve replacement yielded satisfactory short-term and long-term results in a patient with terminal heart failure and severe aortic insufficiency.
Why the study?
LVAD is applied for survival and quality of life in end-stage heart failure, and this report presents LVAD implantation combined with concomitant aortic valve replacement in the same procedure.
Does LVAD implantation with concomitant aortic valve replacement improve outcomes in a patient with end-stage heart failure and severe aortic insufficiency?
Case Report (n=1)
Does LVAD implantation with concomitant aortic valve replacement improve outcomes in a patient with end-stage heart failure and severe aortic insufficiency?
Concomitant LVAD implantation and aortic valve replacement is a feasible procedure with satisfactory outcomes for patients with end-stage heart failure and severe aortic insufficiency.
Answers are grounded in this paper and cite their sources.
Concomitant LVAD and AVR appears feasible in end-stage HF; leaves open need for prospective safety and outcome data.
Introduction. The implantable device for mechanical support of the left ventricular circulation (LVAD) is widely applied as a therapeutic option for survival and improvement of the quality of life in patients with the end-stage heart failure. The objective of our paper was to present the implantation of the aforementioned device together with the aortic valve replacement in the same procedure. Case outline. The patient was admitted to the hospital during his terminal stage of heart failure, with ejection fraction of 18%. The ergospirometry test showed that the maximum VO2 was 10.1 ml/kg/min. Because the medicament therapy hadn?t provided adequate results, the LVAD device was implanted as a bridge until transplantation. Due to severe aortic insufficiency, the aortic valve was concomitantly replaced with bioprosthesis in order to prevent the negative effect of this valvular disease on pump work and clinical outcome. Conclusion. This case report confirms that LVAD implantation with the correction of a significant aortic insufficiency is a procedure with satisfactory short-term and long-term results.
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Mikić et al. (2019) conducted a case report in End-stage heart failure with severe aortic insufficiency (n=1). LVAD implantation and concomitant aortic valve replacement was evaluated on Clinical outcome. LVAD implantation with concomitant aortic valve replacement yielded satisfactory short-term and long-term results in a patient with terminal heart failure and severe aortic insufficiency.
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