Partial Nephrectomy in a Patient with a Left Ventricular Assist Device
Left ventricular assist device (LVAD) use has increased as a bridge to heart transplant as well as destination therapy in patients with severe heart failure. Presence of LVAD is not a contraindication to noncardiac surgery but does present special challenges to the surgical, anesthesia, and cardiac...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2011/526903 |
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| author | Jules P. Manger John A. Kern Tracey L. Krupski |
| author_facet | Jules P. Manger John A. Kern Tracey L. Krupski |
| author_sort | Jules P. Manger |
| collection | DOAJ |
| description | Left ventricular assist device (LVAD) use has increased as a bridge to heart transplant as well as destination therapy in patients with severe heart failure. Presence of LVAD is not a contraindication to noncardiac surgery but does present special challenges to the surgical, anesthesia, and cardiac teams. We present the case of a 40-year-old woman with idiopathic cardiomyopathy necessitating LVAD who underwent left partial nephrectomy for a renal mass. She had undergone three nondiagnostic percutaneous image-guided biopsies. Left partial nephrectomy was performed. Perioperative care was without incident due to careful oversight by a multidisciplinary team. Pathology revealed high-grade clear cell renal cell carcinoma (RCC) with negative margins. Polytetrafluoroethylene (PTFE) bolsters were misidentified six months postoperatively on computed tomography (CT) at an outside institution as a retained laparotomy sponge. This is, to our knowledge, the first report of a partial nephrectomy performed in a patient with LVAD. |
| format | Article |
| id | doaj-art-56f074aae7f94c249b30fd31efc2b53b |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-56f074aae7f94c249b30fd31efc2b53b2025-02-03T01:25:34ZengWileyCase Reports in Urology2090-696X2090-69782011-01-01201110.1155/2011/526903526903Partial Nephrectomy in a Patient with a Left Ventricular Assist DeviceJules P. Manger0John A. Kern1Tracey L. Krupski2Department of Urology, University of Virginia, Charlottesville, VA 22908, USADivision of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia, Charlottesville, VA 22908, USADepartment of Urology, University of Virginia, Charlottesville, VA 22908, USALeft ventricular assist device (LVAD) use has increased as a bridge to heart transplant as well as destination therapy in patients with severe heart failure. Presence of LVAD is not a contraindication to noncardiac surgery but does present special challenges to the surgical, anesthesia, and cardiac teams. We present the case of a 40-year-old woman with idiopathic cardiomyopathy necessitating LVAD who underwent left partial nephrectomy for a renal mass. She had undergone three nondiagnostic percutaneous image-guided biopsies. Left partial nephrectomy was performed. Perioperative care was without incident due to careful oversight by a multidisciplinary team. Pathology revealed high-grade clear cell renal cell carcinoma (RCC) with negative margins. Polytetrafluoroethylene (PTFE) bolsters were misidentified six months postoperatively on computed tomography (CT) at an outside institution as a retained laparotomy sponge. This is, to our knowledge, the first report of a partial nephrectomy performed in a patient with LVAD.http://dx.doi.org/10.1155/2011/526903 |
| spellingShingle | Jules P. Manger John A. Kern Tracey L. Krupski Partial Nephrectomy in a Patient with a Left Ventricular Assist Device Case Reports in Urology |
| title | Partial Nephrectomy in a Patient with a Left Ventricular Assist Device |
| title_full | Partial Nephrectomy in a Patient with a Left Ventricular Assist Device |
| title_fullStr | Partial Nephrectomy in a Patient with a Left Ventricular Assist Device |
| title_full_unstemmed | Partial Nephrectomy in a Patient with a Left Ventricular Assist Device |
| title_short | Partial Nephrectomy in a Patient with a Left Ventricular Assist Device |
| title_sort | partial nephrectomy in a patient with a left ventricular assist device |
| url | http://dx.doi.org/10.1155/2011/526903 |
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