Successful Management of Thrombosis of the Proximal Aorta after Implantation with a Biventricular Assist Device

Continuous-flow ventricular assist devices (CVADs) are associated with a significant complication profile that includes thrombosis of the ascending aorta and aortic valve, thromboembolism, and stroke. Despite an increasing number of reports of thromboembolic complications related to CVADs, there is...

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Published inThe Journal of extra-corporeal technology Vol. 46; no. 4; pp. 310 - 313
Main Authors Russo, Mark J, Gidea, Claudia, Karanam, Ravi, Baran, David A, Saunders, Craig R, Zucker, Mark J, Camacho, Margarita T
Format Journal Article
LanguageEnglish
Published United States American Society of ExtraCorporeal Technology 01.12.2014
Subjects
Adult
Aorta - pathology
Aorta - surgery
Aortic Diseases - etiology
Aortic Diseases - pathology
Aortic Diseases - surgery
Aortic Diseases - therapy
Cardiopulmonary Bypass
Case Reports
Device Removal
Female
Health technology assessment
Heart Transplantation - methods
Heart-Assist Devices - adverse effects
Humans
Male
Thrombosis - etiology
Thrombosis - pathology
Thrombosis - surgery
Thrombosis - therapy
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Summary:Continuous-flow ventricular assist devices (CVADs) are associated with a significant complication profile that includes thrombosis of the ascending aorta and aortic valve, thromboembolism, and stroke. Despite an increasing number of reports of thromboembolic complications related to CVADs, there is little in the literature to guide their management. This report describes successful management strategies used during two cases of thrombosis of the ascending aorta during biventricular CentriMag (Levitronix LLC, Waltham, MA) support, including using pre-existing cannulas to initiate cardiopulmonary bypass.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ObjectType-Report-1
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The senior author has stated that the authors have reported no material, financial, or other relationship with any healthcare-related business or other entity whose products or services are discussed in this paper.
ISSN:0022-1058
2969-8960
DOI:10.1051/ject/201446310