Stent implantation in a left ventricular assist device

Abstract

Sixty-eight-year-old male patient carrier of one HeartWare left ventricular assist device as destination therapy due to ischemic dilated cardiomyopathy. Two years after the implantation, the patient experienced episodes of orthostatic hypotension consistent with low flow alerts of a few seconds duration. He also showed an impaired renal function. On suspicion of device thrombosis one computed tomography angiography was performed that revealed the shortening of the outflow cannula of the pump (figure 1A, arrow).