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Valvular procedures during ventricular assist device implantation.

P Ozturk¹, C Engin, F Ayik

¹Department of Cardiovascular Surgery, Ege University School of Medicine, Izmir, Turkey.

Transplantation Proceedings

|July 31, 2012

Summary

Combined ventricular assist device (VAD) implantation and valve surgery is a viable option for end-stage heart failure patients with valvular disease. This approach demonstrated good survival and VAD support rates in a recent study.

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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Area of Science:

Cardiology
Cardiac Surgery
Mechanical Circulatory Support

Background:

Mechanical circulatory support (MCS) use is expanding to sicker patients.
Management strategies for end-stage heart failure patients with valvular disease undergoing MCS are not well-defined.

Purpose of the Study:

To analyze the experience of combined ventricular assist device (VAD) implantation and valvular procedures in patients with valvular heart disease and end-stage heart failure.

Main Methods:

Retrospective review of 67 MCS patients from April 2007 to September 2011.
Identified 12 patients (17.9%) who underwent concomitant valvular procedures.
Procedures included aortic insufficiency repair, aortic valve replacement, mitral commissurotomy, and tricuspid valve repair.

Main Results:

All 12 patients were male, with a mean age of 50.3 years.
Survival rate was high at 91.6% (11/12) in early and late postoperative periods.
83.3% (10/12) remained on VAD support, and one patient was bridged to transplantation.

Conclusions:

Combined valve surgery during VAD implantation is a reasonable strategy for select patients.
This approach shows promising outcomes in managing complex valvular heart disease in end-stage heart failure.