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Ventricular thrombus and subarachnoid bleeding during support with ventricular assist devices
E M Gruber1, R Seitelberger, P Mares
1Department of Cardiothoracic Anesthesia and Intensive Care, Vienna General Hospital, Austria. eva.gruber@univie.oc.at
The Annals of Thoracic Surgery
|July 3, 1999
Abstract:
We report the case of a 23-year-old man with acute aortic valve insufficiency caused by endocarditis, who after emergency aortic valve replacement developed biventricular heart failure. The heart failure was treated with temporary assist devices. Subarachnoid bleeding and thrombus obstruction of the left ventricular outflow tract was detected. The postoperative course is presented with special emphasis on management of subarachnoid bleeding and the simultaneous use of anticoagulation necessary for ventricular assist devices.