The Thoracic & Cardiovascular Surgeon Reports (Jan 2022)

Left Ventricular Assist Device Implantation in a Patient with Ventricular Pseudoaneurysm

  • Dejan Radakovic,
  • Kiril Penov,
  • Gülmisal Güder,
  • Ivan Aleksic

DOI
https://doi.org/10.1055/s-0041-1741554
Journal volume & issue
Vol. 11, no. 01
pp. e11 – e13

Abstract

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Background Left ventricular assist device (LVAD) implantation after contained LV rupture (pseudoaneurysm) represents a difficult surgical problem. Case Description We describe the surgical approach for such a patient. The sewing ring was implanted utilizing a Dacron patch for reconstruction of the free wall, fibrotic LV wall remnants, and a Teflon strip giving additional support for cannula position and hemostasis. The patient had an uneventful recovery and is well 19 months after the procedure. Conclusion LV pseudoaneurysm is not a contraindication for permanent LVAD implantation.

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