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Simultaneous use of an implanted defibrillator and ventricular assist device
J L Skinner1, R C Bourge, R B Shepard
1Division of Cardiothoracic Surgery, University of Alabama at Birmingham, 35294-0007, USA.
Insights
A patient with cardiogenic shock received a left ventricular assist device (LVAD) for heart transplant. The LVAD worked safely with an implantable cardioverter/defibrillator (ICD) that managed ventricular tachycardia.
Area of Science:
- Cardiology
- Medical Devices
- Cardiac Surgery
Background:
- Cardiogenic shock necessitates advanced circulatory support.
- Left ventricular assist devices (LVADs) are crucial for end-stage heart failure.
- Implantable cardioverter/defibrillators (ICDs) manage life-threatening arrhythmias.
Abstract:
A left ventricular assist device was placed as a bridge to cardiac transplantation in a 51-year-old man with cardiogenic shock. Placement of the left ventricular assist device occurred 5 years after implantation of an implantable cardioverter/defibrillator. The implantable cardioverter/defibrillator discharged appropriately during ventricular assist device support to terminate episodes of sustained ventricular tachycardia without causing malfunction of the ventricular assist device.