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Published on: July 18, 2014
Left Ventricular Assist Device Implantation with Concomitant Replacement of the Ascending Aorta
Sebastian Johannes Bauer1, Yukiharu Sugimura1, Moritz Benjamin Immohr1
1Department of Cardiac Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Nordrhein-Westfalen, Germany.
Insights
This case study details a 66-year-old patient with ischemic dilated cardiomyopathy (DCM) who underwent a combined left ventricular assist device (LVAD) implantation and aortic replacement. The innovative surgical approach facilitated successful treatment and eventual discharge.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Case Reports
Background:
- Dilated cardiomyopathy (DCM) is a primary cause of end-stage heart failure.
- Left ventricular assist devices (LVADs) are crucial for managing heart failure patients awaiting transplantation.
- Aortic pathologies can complicate cardiac conditions, necessitating complex surgical interventions.
Abstract:
Dilated cardiomyopathy (DCM) is one of the main causes for end-stage heart failure. Until the transplantation, left ventricular assist devices (LVAD) have become an established treatment. We report a case of a 66-year-old patient with ischemic and DCM and suspected aortic ulcer formation. LVAD was implanted in the same session with a supracoronary aortic replacement. Bilateral cannulation of the subclavian arteries omitted the need of circulatory arrest and proximal aortic cross-clamping. Pneumonia-associated decarboxylation failure prolonged the postoperative intensive care period. The patient was finally discharged home on the 115 th postoperative day.
