LVAD with concomitant rapid deployment valve implantation - a case report

Area of Science:

• Cardiovascular Surgery
• Medical Devices
• Prosthetic Valves

Background:

• Aortic valve insufficiency poses hemodynamic challenges for patients with left ventricular assist devices (LVADs).
• Circulation loops in LVAD patients can impede systemic blood flow and elevate left ventricular filling pressures.

Observation:

• A 64-year-old male with dilated cardiomyopathy received a Heartware™ HVAD LVAD.
• The patient also underwent successful aortic valve replacement using an Edwards Intuity rapid deployment prosthetic valve.

Findings:

• The Edwards Intuity valve facilitates aortic insufficiency intervention during LVAD implantation.
• This rapid deployment valve may offer advantages over alternative methods, including reduced cross-clamp times.

Implications:

• The Intuity valve's potential for intermediate-to-long-term durability and preservation of aortic valve opening warrants consideration.
• This approach may support potential ventricular recovery in LVAD patients.
• The Edwards Intuity valve is a viable option for managing aortic insufficiency in conjunction with LVAD implantation.