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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
Thoracoabdominal aortic aneurysm repair in a patient with a left ventricular assist device
Kazuma Date1, Tatsuo Kaneko2, Masahiko Edure2
1Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan; Department of Cardiothoracic Surgery, The University of Tokyo, Tokyo, Japan.
Abstract:
We report a case of thoracoabdominal aneurysm repair in a 44-year-old man with end-stage heart failure requiring an extracorporeal left ventricular assist device (LVAD). At the age of 31 years, the patient experienced type B acute aortic dissection, which gradually dilated to a maximum dimension of 66 mm at the diaphragm. The aneurysm prevented the patient from meeting heart transplantation criteria. For this reason and because of an increased risk of rupture, we undertook surgical repair of the aneurysm. This report constitutes the first such published case, and we describe the management of the LVAD in the perioperative period.
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