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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2022; 11(01): e11-e13
DOI: 10.1055/s-0041-1741554
Case Report: Cardiac

Left Ventricular Assist Device Implantation in a Patient with Ventricular Pseudoaneurysm

Dejan Radakovic
1   Department of Thoracic and Cardiovascular Surgery, Julius-Maximilians-University Hospital Wuerzburg, Wuerzburg, Germany
,
Kiril Penov 
1   Department of Thoracic and Cardiovascular Surgery, Julius-Maximilians-University Hospital Wuerzburg, Wuerzburg, Germany
,
Gülmisal Güder
2   Internal Medicine I, Julius Maximilians University of Würzburg, Wurzburg, Bayern, Germany
,
Ivan Aleksic 
1   Department of Thoracic and Cardiovascular Surgery, Julius-Maximilians-University Hospital Wuerzburg, Wuerzburg, Germany
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Abstract

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.

Keywords

heart - heart failure - LVAD


Publication History

Received: 24 June 2021

Accepted: 13 September 2021

Article published online:
01 February 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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