Why the study?
The effectiveness of emergency mechanical support in patients with very unfavorable prognoses due to end-stage dilated cardiomyopathy and left ventricular thrombus formation is discussed.
Case Report (n=1)
Emergency mechanical support with an LVAD following thrombectomy and partial left ventriculectomy can be an effective bridge to recovery or discharge in patients with end-stage dilated cardiomyopathy and severe prognosis.
May enable recovery in select young DCM patients with LV thrombus after combined surgery and LVAD; leaves open durability and generalizability.
The case of a 17-year-old male patient with severe end-stage dilated cardiomyopathy and a large thrombus formation within the cavum of the left ventricle is reported. After an acute thrombectomia combined with a partial left ventriculectomy (Batista procedure), the patient was successfully treated with an appropriate left ventricular assist device (LVAD) system using a centrifugal nonocclusive pump (Biomedicus, Medtronic, Anaheim, CA, U.S.A.). Mechanical support was removed on Day 9, and the patient was discharged from the hospital on Day 19. The effectiveness of emergency mechanical support in patients with very unfavorable prognoses is discussed.
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Marx et al. (1999) conducted a case report in End-stage dilated cardiomyopathy and left ventricular thrombus formation (n=1). Acute thrombectomy, partial left ventriculectomy (Batista procedure), and LVAD support was evaluated on Clinical recovery and hospital discharge.
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