Rapid Development of Bleeding Esophageal Varices after Placement of Continuous Flow Left Ventricular Assist Device
We describe a patient with compensated cirrhosis and portal hypertension who underwent continuous flow LVAD implantation. Shortly after LVAD implantation, the patient developed new onset bleeding esophageal varices and ultimately had a fatal outcome. Our experience suggests that even well-compensate...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2019/8410420 |
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| _version_ | 1832550924621447168 |
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| author | Kaushal Majmudar Michael Northcutt Robert Gordon Claus J. Fimmel |
| author_facet | Kaushal Majmudar Michael Northcutt Robert Gordon Claus J. Fimmel |
| author_sort | Kaushal Majmudar |
| collection | DOAJ |
| description | We describe a patient with compensated cirrhosis and portal hypertension who underwent continuous flow LVAD implantation. Shortly after LVAD implantation, the patient developed new onset bleeding esophageal varices and ultimately had a fatal outcome. Our experience suggests that even well-compensated cirrhotic patients with significant portal hypertension are at risk of variceal bleeding after LVAD placement. |
| format | Article |
| id | doaj-art-a28032a05b6c476cb1139ac6e6079e10 |
| institution | Kabale University |
| issn | 2090-6587 2090-6595 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hepatology |
| spelling | doaj-art-a28032a05b6c476cb1139ac6e6079e102025-02-03T06:05:23ZengWileyCase Reports in Hepatology2090-65872090-65952019-01-01201910.1155/2019/84104208410420Rapid Development of Bleeding Esophageal Varices after Placement of Continuous Flow Left Ventricular Assist DeviceKaushal Majmudar0Michael Northcutt1Robert Gordon2Claus J. Fimmel3Department of Medicine, Division of Internal Medicine, NorthShore University HealthSystem, Evanston, IL, USADepartment of Medicine, Division of Gastroenterology, NorthShore University HealthSystem, Evanston, IL, USADepartment of Medicine, Division of Cardiology, NorthShore University HealthSystem, Evanston, IL, USADepartment of Medicine, Division of Gastroenterology, NorthShore University HealthSystem, Evanston, IL, USAWe describe a patient with compensated cirrhosis and portal hypertension who underwent continuous flow LVAD implantation. Shortly after LVAD implantation, the patient developed new onset bleeding esophageal varices and ultimately had a fatal outcome. Our experience suggests that even well-compensated cirrhotic patients with significant portal hypertension are at risk of variceal bleeding after LVAD placement.http://dx.doi.org/10.1155/2019/8410420 |
| spellingShingle | Kaushal Majmudar Michael Northcutt Robert Gordon Claus J. Fimmel Rapid Development of Bleeding Esophageal Varices after Placement of Continuous Flow Left Ventricular Assist Device Case Reports in Hepatology |
| title | Rapid Development of Bleeding Esophageal Varices after Placement of Continuous Flow Left Ventricular Assist Device |
| title_full | Rapid Development of Bleeding Esophageal Varices after Placement of Continuous Flow Left Ventricular Assist Device |
| title_fullStr | Rapid Development of Bleeding Esophageal Varices after Placement of Continuous Flow Left Ventricular Assist Device |
| title_full_unstemmed | Rapid Development of Bleeding Esophageal Varices after Placement of Continuous Flow Left Ventricular Assist Device |
| title_short | Rapid Development of Bleeding Esophageal Varices after Placement of Continuous Flow Left Ventricular Assist Device |
| title_sort | rapid development of bleeding esophageal varices after placement of continuous flow left ventricular assist device |
| url | http://dx.doi.org/10.1155/2019/8410420 |
| work_keys_str_mv | AT kaushalmajmudar rapiddevelopmentofbleedingesophagealvaricesafterplacementofcontinuousflowleftventricularassistdevice AT michaelnorthcutt rapiddevelopmentofbleedingesophagealvaricesafterplacementofcontinuousflowleftventricularassistdevice AT robertgordon rapiddevelopmentofbleedingesophagealvaricesafterplacementofcontinuousflowleftventricularassistdevice AT clausjfimmel rapiddevelopmentofbleedingesophagealvaricesafterplacementofcontinuousflowleftventricularassistdevice |