This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Bernard Eisenmann Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Kindo, M. Articles by Mazzucotelli, J.-P. Search for Related Content PubMed PubMed Citation Articles by Kindo, M. Articles by Mazzucotelli, J.-P. Related Collections Coronary disease Mechanical Circulatory Assistance Transplantation - heart

Biventricular assist device implantation as bridge to heart transplantation concomitant with open repair of infrarenal aortic aneurysm

Department of Cardiovascular Surgery, Hôpitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, BP 426, 67091 Strasbourg Cedex, France

*Corresponding author. Tel.: +33 3/88/11/62/44; fax: +33 3/88/11/62/43.

E-mail address: michel.kindo{at}chru-strasbourg.fr (M. Kindo).

Abdominal aortic aneurysm (AAA) is very frequently accompanied by coronary artery disease. Myocardial ischemia is the leading cause of mortality and morbidity in AAA repair. Therapeutic strategy, in presence of ischemic heart failure and AAA, is not well established. Actually, AAA is considered as a contraindication to ventricular assist device (VAD) support. We report a unique case of concomitant open AAA repair and biVAD implantation in a patient with severe ischemic heart failure. This case argues that AAA should no longer be considered a contraindication for VAD implantation, provided the AAA repair is made before or simultaneously with device placement.

Key Words: Aneurysm; Circulatory assist devices; Heart failure; Transplantation, heart; Vascular disease