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Published on: July 18, 2014
Left Ventricular Assist Device Implantation in a Patient with Ventricular Pseudoaneurysm
Dejan Radakovic1, Kiril Penov1, Gülmisal Güder2
1Department of Thoracic and Cardiovascular Surgery, Julius-Maximilians-University Hospital Wuerzburg, Wuerzburg, Germany.
Abstract:
Background Left ventricular assist device (LVAD) implantation after contained LV rupture (pseudoaneurysm) represents a difficult surgical problem. Case Description We describe the surgical approach for such a patient. The sewing ring was implanted utilizing a Dacron patch for reconstruction of the free wall, fibrotic LV wall remnants, and a Teflon strip giving additional support for cannula position and hemostasis. The patient had an uneventful recovery and is well 19 months after the procedure. Conclusion LV pseudoaneurysm is not a contraindication for permanent LVAD implantation.

