LVAD with concomitant rapid deployment valve implantation - a case report.

Abstract

BACKGROUND:

Aortic valve insufficiency can have significant hemodynamic consequences for patients with left ventricular assist devices. A circulation loop can limit systemic blood flow and increase left ventricular filling pressure.

CASE PRESENTATION:

A 64-year-old male with non-ischemic dilated cardiomyopathy underwent Heartware™ HVAD left ventricular assist device implantation with successful concomitant aortic valve replacement with an Edwards Intuity rapid deployment prosthetic valve.

CONCLUSIONS:

The use of this rapid deployment valve may have benefits over other techniques including shorter cross clamp times during surgery, intermediate-long term durability, and preservation of aortic valve opening to allow for potential ventricular recovery. The Intuity rapid deployment valve should thus be considered a viable and suitable option for aortic insufficiency intervention during LVAD implantation.

• Authors: Daniel D Holloway, Lindsay C Jones, Soo J Howell, Jonathan D Rich, Duc Thinh Pham
• Journal: Journal of cardiothoracic surgery (J Cardiothorac Surg) Vol. 14 Issue 1 Pg. 126 (Jul 01 2019) ISSN: 1749-8090 [Electronic] England
• PMID: 31262339 (Publication Type: Case Reports, Journal Article)

Topics

• Aortic Valve Insufficiency (surgery)
• Cardiomyopathy, Dilated (surgery)
• Heart Valve Prosthesis
• Heart Valve Prosthesis Implantation
• Heart-Assist Devices (adverse effects)
• Humans
• Male
• Middle Aged