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LVAD with concomitant rapid deployment valve implantation - a case report
Daniel D Holloway1, Lindsay C Jones1, Soo J Howell1
1Division of Cardiac Surgery, Center for Advanced Heart Failure, Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital, 201 E Huron St, Suite 11-140, Il, Chicago, IL, 60611, USA.
Background:
Aortic valve insufficiency can have significant hemodynamic consequences for patients with left ventricular assist devices. A circulation loop can limit systemic blood flow and increase left ventricular filling pressure.
Case Presentation:
A 64-year-old male with non-ischemic dilated cardiomyopathy underwent Heartware™ HVAD left ventricular assist device implantation with successful concomitant aortic valve replacement with an Edwards Intuity rapid deployment prosthetic valve.
Conclusions:
The use of this rapid deployment valve may have benefits over other techniques including shorter cross clamp times during surgery, intermediate-long term durability, and preservation of aortic valve opening to allow for potential ventricular recovery. The Intuity rapid deployment valve should thus be considered a viable and suitable option for aortic insufficiency intervention during LVAD implantation.
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