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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
Total knee arthroplasty in patients with a left ventricular assist device
Garrett R Leonard1, Charles M Davis
1Penn State College of Medicine, Hershey, Pennsylvania, USA.
Abstract:
Many patients with severe cardiac disease can now live for a prolonged period with left ventricular assist devices (LVADs), and some patients will develop noncardiac medical issues that may benefit from surgical intervention. Previous studies have reported a low rate of complications in patients with LVADs undergoing noncardiac surgical procedures. We report the cases of 2 patients with LVADs who underwent total knee arthroplasties for osteoarthritis. Both patients had significant pain relief and improved function; however, management of anticoagulation and bleeding complications was challenging.
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