eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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4/2014
vol. 11
 
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abstract:

CASE REPORT
Successful repeated thrombolysis in a patient with HeartWare thrombosis – the importance of Doppler flow pattern

Lech Paluszkiewicz
,
Michiel Morshuis
,
Kavous Hakim-Meibodi
,
Stephan Ensminger
,
Jan Gummert

Kardiochirurgia i Torakochirurgia Polska 2014; 11 (4): 428-431
DOI: https://doi.org/10.5114/kitp.2014.47346
Online publish date: 2014/11/30
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Here we present a patient after implantation of a left ventricular assist device (HeartWare) for destination therapy complicated by recurrent thrombosis of the device. At 14 months after implantation, the patient presented with a pump thrombosis after an INR incompliance period. A surgical pump exchange was performed and the patient recovered uneventfully. Five months later a pump thrombosis occurred again, and the patient refused surgery. Systemic thrombolysis was carried out this time. Three and 6 months later the same clinical picture was presented again, and repeat thrombolysis was performed successfully. The patient was discharged and has remained stable since, without any symptoms of thrombosis of the device.
keywords:

thrombosis, circulatory assist devices, LVAD, echocardiography, heart failure operations
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