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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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
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950133424001551
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author Katlin T. Schmitz, MD
Sara S. Inglis, MB, BCh, BAO
Mauricio A. Villavicencio, MD, MBA
Adrian daSilva-deAbreu, MD, MSc, PhD(c)
author_facet Katlin T. Schmitz, MD
Sara S. Inglis, MB, BCh, BAO
Mauricio A. Villavicencio, MD, MBA
Adrian daSilva-deAbreu, MD, MSc, PhD(c)
author_sort Katlin T. Schmitz, MD
collection DOAJ
description 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.
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institution Kabale University
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publishDate 2025-05-01
publisher Elsevier
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series JHLT Open
spelling doaj-art-889fc0b8f5584fcca07825d011fa43c52025-02-10T04:35:36ZengElsevierJHLT Open2950-13342025-05-018100205HeartMate 3 upgrade and aortic root replacement for severe aortic insufficiency and ventricular fibrillationKatlin T. Schmitz, MD0Sara S. Inglis, MB, BCh, BAO1Mauricio A. Villavicencio, MD, MBA2Adrian daSilva-deAbreu, MD, MSc, PhD(c)3Department of Internal Medicine, Mayo Clinic, Rochester, MinnesotaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MinnesotaDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, MinnesotaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota; Corresponding author: Adrian da Silva-deAbreu, MD, MSc, PhD(c), Department of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.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.http://www.sciencedirect.com/science/article/pii/S2950133424001551aortic insufficiencyventricular fibrillationleft ventricular assist device (LVAD)heart failuretranscatheter aortic valve implantation (TAVI)right ventricular failure
spellingShingle Katlin T. Schmitz, MD
Sara S. Inglis, MB, BCh, BAO
Mauricio A. Villavicencio, MD, MBA
Adrian daSilva-deAbreu, MD, MSc, PhD(c)
HeartMate 3 upgrade and aortic root replacement for severe aortic insufficiency and ventricular fibrillation
JHLT Open
aortic insufficiency
ventricular fibrillation
left ventricular assist device (LVAD)
heart failure
transcatheter aortic valve implantation (TAVI)
right ventricular failure
title HeartMate 3 upgrade and aortic root replacement for severe aortic insufficiency and ventricular fibrillation
title_full HeartMate 3 upgrade and aortic root replacement for severe aortic insufficiency and ventricular fibrillation
title_fullStr HeartMate 3 upgrade and aortic root replacement for severe aortic insufficiency and ventricular fibrillation
title_full_unstemmed HeartMate 3 upgrade and aortic root replacement for severe aortic insufficiency and ventricular fibrillation
title_short HeartMate 3 upgrade and aortic root replacement for severe aortic insufficiency and ventricular fibrillation
title_sort heartmate 3 upgrade and aortic root replacement for severe aortic insufficiency and ventricular fibrillation
topic aortic insufficiency
ventricular fibrillation
left ventricular assist device (LVAD)
heart failure
transcatheter aortic valve implantation (TAVI)
right ventricular failure
url http://www.sciencedirect.com/science/article/pii/S2950133424001551
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