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Successful left ventricular assist after a first and second heart operation
J A Magovern1, A D Campellone, G J Magovern
1Department of Surgery, Allegheny General Hospital, Pennsylvania 15212.
The Annals of Thoracic Surgery
|August 1, 1993
Summary
A 57-year-old man with advanced coronary artery disease successfully underwent a second coronary artery bypass surgery with left ventricular assist device support. He recovered well and maintained good heart function one year post-operation.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Mechanical Circulatory Support
Background:
- Coronary artery disease (CAD) can progress despite previous interventions.
- Coronary artery bypass grafting (CABG) is a common treatment for severe CAD.
- Left ventricular assist devices (LVADs) provide mechanical support for failing hearts.
Observation:
- A 57-year-old male patient presented with recurrent symptoms due to progressive coronary artery disease.
- He had a history of prior coronary artery bypass grafting (CABG) nine years earlier.
- He was previously supported with a centrifugal left ventricular assist device (LVAD).
Findings:
- The patient underwent a redo CABG procedure.
- Left ventricular assistance was again required during the redo CABG.
- Postoperative recovery was successful, with discharge on the 15th day.
- The patient demonstrated good left ventricular function one year after the operation.
Implications:
- Redo CABG in conjunction with LVAD support can be a viable option for select patients with advanced CAD.
- This case highlights the potential for long-term recovery and improved cardiac function after complex reoperative procedures.
- Mechanical circulatory support can facilitate recovery in patients undergoing high-risk cardiac surgeries.