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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

Urgent device retrieval using partial left heart bypass.

Aneel Zaheer¹, Justin Mark West, Mark H D Danton

¹Scottish Adult Congenital Cardiac Service, Golden Jubilee National Hospital, Agamemnon Street, Glasgow, Scotland G81 4DY, UK.

Interactive Cardiovascular and Thoracic Surgery

|February 24, 2011

Summary

This summary is machine-generated.

Migrated cardiovascular devices causing thoracic aortic obstruction can be challenging to retrieve percutaneously. Surgical removal using partial left heart bypass was necessary in two complex congenital heart disease cases.

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Area of Science:

Cardiovascular medicine
Interventional cardiology
Congenital heart disease treatment

Background:

Percutaneous cardiovascular device implantation is increasingly utilized for congenital heart disease.
Device malposition and embolization are uncommon but recognized complications.
Catheter-based retrieval is typically successful for migrated devices.

Observation:

Two cases of migrated cardiovascular devices causing thoracic aortic obstruction are presented.
Both devices were refractory to standard percutaneous retrieval techniques.
Specific concerns regarding distal perfusion complicated retrieval attempts.

Findings:

Surgical retrieval via thoracotomy was successfully performed in both cases.
Partial left heart bypass was employed due to concerns about distal perfusion.
This approach facilitated safe removal of the obstructing devices.

Implications:

Thoracic aortic obstruction by migrated devices may necessitate surgical intervention.
Partial left heart bypass can be a crucial technique for managing complex retrieval scenarios.
This experience highlights the limitations of percutaneous retrieval in specific device migration complications.