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Updated: Jan 30, 2026
08:49
Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
Published on: May 11, 2018
9.9K
Regenerating a ventricular cavity during left ventricular assist device implantation
Ozge Altas1, Tanil Ozer2, Mustafa Mert Ozgur2
1Department of Cardiovascular Surgery, Kosuyolu Heart Training and Research Hospital, Istanbul, Turkey. dr.ozgealtas@gmail.com.
Summary
A complex heart failure case involving ventricular thrombus was successfully treated with ventricular reconstruction and HeartMate 3™ Left Ventricular Assist Device (LVAD) implantation. This combined approach offers a viable solution for patients with challenging cardiac conditions.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Devices
Background:
- Percutaneous coronary stent placement can be ineffective, leading to complications like congestive heart failure.
- Left Ventricular Assist Devices (LVADs) improve quality of life but present challenges with pre-existing ventricular thrombus.
Observation:
- A 53-year-old patient presented with severe heart failure and left ventricular aneurysm with thrombus formation post-stenting.
- Echocardiography confirmed left ventricular thrombus within the apical aneurysm.
Findings:
- Ventricular reconstruction combined with thrombus extraction was performed concurrently with HeartMate 3™ LVAD implantation.
- The patient experienced an uneventful recovery and was discharged on postoperative day 14.
Implications:
- This case demonstrates the feasibility of combined ventricular reconstruction and LVAD implantation in complex heart failure patients with ventricular thrombus.
- The surgical strategy offers a potential solution for improving outcomes in challenging LVAD cases.
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