Published in:
Open Access
01-12-2013 | Case report
Successful bridge to recovery using two-stage HeartWare LVAD explantation approach after embolic stroke
Authors:
Anton Sabashnikov, Benjamin A Högerle, Prashant N Mohite, Aron-Frederik Popov, Diana García Sáez, Javid Fatullayev, Mohamed Amrani, Thorsten Wahlers, André R Simon, Toufan Bahrami
Published in:
Journal of Cardiothoracic Surgery
|
Issue 1/2013
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Abstract
A two-stage explantation of a left ventricular assist device (LVAD) was performed on 47 year old afro-american gentlemen with non-ischemic dilated cardiomyopathy (DCM) who was successfully bridged to recovery. After he suffered a stroke caused by a VAD thrombosis with embolisation, the VAD outflow graft was first ligated using minimally-invasive approach. Two months later, the device was explanted and a manufactured titanium plug was placed into the sewing ring. This stepwise procedure might be beneficial in cases of high thromboembolic risk and in patients who suffered a thromboembolic event previously.