Key result
LVAD implantation achieves successful recovery and 19-month survival in a patient with a ventricular pseudoaneurysm.
Why the study?
Left ventricular assist device implantation after contained left ventricular rupture (pseudoaneurysm) represents a difficult surgical problem.
Case Report (n=1)
Left ventricular pseudoaneurysm is not an absolute contraindication for permanent LVAD implantation when appropriate surgical reconstruction techniques are used.
May support LVAD feasibility in ventricular pseudoaneurysm with reconstruction; single case leaves open need for confirmatory studies.
Background Left ventricular assist device (LVAD) implantation after contained LV rupture (pseudoaneurysm) represents a difficult surgical problem. Case Description We describe the surgical approach for such a patient. The sewing ring was implanted utilizing a Dacron patch for reconstruction of the free wall, fibrotic LV wall remnants, and a Teflon strip giving additional support for cannula position and hemostasis. The patient had an uneventful recovery and is well 19 months after the procedure. Conclusion LV pseudoaneurysm is not a contraindication for permanent LVAD implantation.
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Radaković et al. (2022) conducted a case report in Left ventricular pseudoaneurysm (n=1). Left ventricular assist device (LVAD) implantation was evaluated on Recovery and survival. Left ventricular assist device implantation was successfully performed in a patient with a ventricular pseudoaneurysm, resulting in an uneventful recovery and survival at 19 months.
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