Aortic Root Thrombosis With Multivessel Coronary Embolism Following Left Ventricular Assist Device Implantation

Aortic root thrombosis is a rare but life-threatening complication in patients supported with continuous-flow LVADs. Acute ST-segment elevation myocardial infarction in patients with LVAD should prompt urgent evaluation for coronary embolism rather than atherosclerotic disease, especially in young patients without traditional risk factors. Management of aortic root thrombus with multivessel coronary embolization requires individualized, multidisciplinary decision-making.