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Updated: Mar 5, 2026

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Published on: June 5, 2010
Exercise Training in a Patient With a Left Ventricular Assist Device and Large Aortic Valve Thrombus
Mijiti Wuliya1, Sandrine Peyrot, Costin Radu
1Department of Cardiac Rehabilitation (Drs Wuliya, Peyrot, Ben Elhaj, and Gellen), Department of Cardiac Surgery (Dr Radu), Department of Cardiology (Drs Peyrot, Lellouche, Damy, Guendouz, and Gellen), and Department of Radiology (Dr Deux), APHP, Henri-Mondor University Hospital Group, Creteil, France; and Polyclinique de Poitiers, Poitiers, France (Dr Gellen).
Details Of The Clinical Case:
An aortic valve thrombus (AVT) is a rare complication after HeartMate II implantation. In a 44-year-old man, a large AVT was discovered 6 weeks after implantation of a HeartMate II for severe dilated cardiomyopathy. The aortic valve was permanently closed.
Discussion:
After a followup of 3 months without embolic events, the patient started a cardiac rehabilitation (CR) program involving aerobic exercise, resistance exercises, group gymnastics, and relaxation exercise, and completed the program without any complications, resulting in a significant functional benefit.
Summary:
CR might not be systematically contraindicated in patients with HeartMate II and an AVT, in particular, if there is no opening of the aortic valve at rest.
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