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Published on October 15, 2009
Interactive CardioVascular and Thoracic Surgery 2009, doi:10.1510/icvts.2009.215962
© 2009 European Association of Cardio-Thoracic Surgery
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Assisted circulation

Right ventricular failure after left ventricular assist device implantation with concomitant pulmonary embolectomy needing right ventricular assist device support in patient with terminal heart failure and asymptomatic pulmonary thrombus

Alexander Stepanenko 1*, Evgenij V. Potapov 1, Thomas Krabatsch 1, Roland Hetzer 1

1 Deutsches Herzzentrum Berlin, Germany

* To whom correspondence should be addressed. E-mail: stepanenko{at}dhzb.de.


  Abstract
We present a case in which a left ventricular assist device (LVAD) was implanted in a patient with terminal heart failure and preoperatively diagnosed asymptomatic thrombus in the right pulmonary artery. LVAD implantation was performed with concomitant thromboembolectomy in deep hypothermic circulatory arrest (DHCA) and intra-operatively right ventricular assist device (RVAD) implantation for the treatment of acute right ventricular failure became necessary. The patient was weaned from the RVAD after 8 days of support. Keywords: Terminal heart failure; Left ventricular assist device; Asymptomatic pulmonary thrombus; Right ventricular assist device




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