Anesthesia for left ventricular assisted device insertion in a patient with multiple organ failure

Area of Science:

• Cardiology
• Medical Technology
• Mechanical Circulatory Support

Background:

• Left ventricular assist devices (LVADs) represent significant technological advancements in treating end-stage heart failure.
• Indications for LVADs have expanded to include destination therapy for patients ineligible for cardiac transplantation.

Observation:

• This case report focuses on a patient experiencing multi-organ failure.
• The patient underwent LVAD insertion following an extended period (nine days) of intensive support, including extra-corporeal membrane oxygenation (ECMO), intra-aortic balloon pump (IABP), and maximal inotropic therapy.

Findings:

• Successful LVAD implantation was achieved in a critically ill patient with multi-organ failure.
• The report details the perioperative management, intra-operative monitoring, and interventions crucial for this complex case.

Implications:

• This case underscores the potential of LVADs as a viable treatment option for advanced heart failure patients, even in complex multi-organ failure scenarios.
• Effective perioperative strategies are vital for improving outcomes in destination therapy with LVADs.