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Published in: Journal of Artificial Organs 3/2016

01-09-2016 | Case Report

Intractable bleeding tendency due to acquired von Willebrand syndrome after Jarvik 2000 implant

Authors: Ko Sakatsume, Masatoshi Akiyama, Kenki Saito, Shunsuke Kawamoto, Hisanori Horiuchi, Yoshikatsu Saiki

Published in: Journal of Artificial Organs | Issue 3/2016

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Abstract

A 61-year-old man was implanted with a Jarvik 2000, a continuous axial flow type left ventricular assist device (LVAD), for end-stage heart failure due to dilated cardiomyopathy. One month later, his postoperative course was complicated with intractable oozing-type gastrointestinal bleeding from multiple small shallow ulcers and erosions in the colon. In addition, repeated bleeding episodes were encountered at around thoracentesis site for pleural effusion. Hematological examination showed that platelet counts and coagulation factors were kept within normal ranges. We, thereafter, revealed remarkable loss of the large multimers of von Willebrand factors (VWFs), which might be closely associated with his intractable bleeding tendency.
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Metadata
Title
Intractable bleeding tendency due to acquired von Willebrand syndrome after Jarvik 2000 implant
Authors
Ko Sakatsume
Masatoshi Akiyama
Kenki Saito
Shunsuke Kawamoto
Hisanori Horiuchi
Yoshikatsu Saiki
Publication date
01-09-2016
Publisher
Springer Japan
Published in
Journal of Artificial Organs / Issue 3/2016
Print ISSN: 1434-7229
Electronic ISSN: 1619-0904
DOI
https://doi.org/10.1007/s10047-016-0896-7

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