HeartMate 3 upgrade and aortic root replacement for severe aortic insufficiency and ventricular fibrillation

HeartMate 3 upgrade and aortic root replacement for severe aortic insufficiency and ventricular fibrillation

A 31-year-old woman with left ventricular (LV) assist device (LVAD) support presented with refractory ventricular arrhythmias attributed to severe aortic insufficiency and inadequate left ventricular offloading. The patient had a history of 2 prior pump exchanges in the setting of chronic polymicrob...

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Bibliographic Details
Main Authors: Katlin T. Schmitz, MD, Sara S. Inglis, MB, BCh, BAO, Mauricio A. Villavicencio, MD, MBA, Adrian daSilva-deAbreu, MD, MSc, PhD(c)
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:JHLT Open
Subjects:
aortic insufficiency
ventricular fibrillation
left ventricular assist device (LVAD)
heart failure
transcatheter aortic valve implantation (TAVI)
right ventricular failure
Online Access:http://www.sciencedirect.com/science/article/pii/S2950133424001551
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Summary:A 31-year-old woman with left ventricular (LV) assist device (LVAD) support presented with refractory ventricular arrhythmias attributed to severe aortic insufficiency and inadequate left ventricular offloading. The patient had a history of 2 prior pump exchanges in the setting of chronic polymicrobial driveline infections and prior transcatheter aortic valve implantation (TAVI). She underwent aortic valve replacement for management of her ventricular arrythmias. Due to her complicated surgical history, right heart failure, and prolonged cardiopulmonary bypass time the surgical aortic valve replacement and HeartMate 3 upgrade was complicated, but surgery was successful with subsequent termination of her ventricular arrythmias.
ISSN:2950-1334

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