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In Vitro Thrombosis Test for Ventricular Assist Devices
Published on: March 21, 2025
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Partial nephrectomy in a patient with a left ventricular assist device.
Jules P Manger1, John A Kern, Tracey L Krupski
1Department of Urology, University of Virginia, Charlottesville, VA 22908, USA.
Case Reports in Urology
|May 19, 2012
Summary
This study reports the first partial nephrectomy in a patient with a left ventricular assist device (LVAD). Careful multidisciplinary care ensured a successful surgery for renal cell carcinoma in this complex patient.
Area of Science:
- Cardiology
- Nephrology
- Surgical Oncology
Background:
- Left ventricular assist device (LVAD) use is increasing for severe heart failure, presenting unique challenges for noncardiac surgery.
- Patients with LVADs require specialized perioperative management due to their complex physiology.
Observation:
- A 40-year-old woman with idiopathic cardiomyopathy requiring an LVAD underwent a left partial nephrectomy for a renal mass.
- Previous biopsies were nondiagnostic, necessitating surgical intervention.
Findings:
- The partial nephrectomy was performed successfully with no perioperative complications, attributed to a multidisciplinary team approach.
- Pathology confirmed high-grade clear cell renal cell carcinoma (RCC) with negative margins.
- Postoperative imaging initially led to misidentification of PTFE bolsters as a retained sponge.
Implications:
- This case demonstrates the feasibility of partial nephrectomy in LVAD patients.
- It highlights the importance of experienced multidisciplinary teams in managing complex surgical cases involving LVADs.
- This report contributes to the limited literature on noncardiac surgery in LVAD recipients.
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