Key result
Concomitant LVAD implantation and atypical lung resection succeeds with uneventful recovery in a single case.
Why the study?
LVAD indications have broadened to include patients with multiple comorbidities requiring combined surgical strategies, presenting clinical decision-making and surgical challenges.
Case Report (n=1)
No
Concomitant LVAD implantation and lung nodule resection is feasible using a multidisciplinary approach to manage surgical risks.
In the last years, left ventricular assist device (LVAD) indications have significantly broadened including candidates with multiple comorbidities even requiring combined surgical strategy.We present a case of a 56-year old patient affected by postischemic dilated cardiomyopathy in whom a lung nodule diagnosed during preoperative CT-scan could have contraindicated LVAD destination therapy.The patient underwent through a median sternotomy concomitant LVAD implantation on cardiopulmonary bypass followed by an atypical resection of the anterior part of the right lower lobe lung.A multidisciplinary, step-by-step approach to reduce the risk of right ventricular failure, bleeding and infections is presented.
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Andrea Lechiancole (2019) conducted a case report in Post-ischemic dilated cardiomyopathy and lung nodule (n=1). Concomitant LVAD implantation and atypical lung resection was evaluated on Surgical success and postoperative recovery. Concomitant LVAD implantation and atypical lung resection was successfully performed using a step-by-step approach, resulting in an uneventful recovery and discharge on postoperative day 17.
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