eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2017
vol. 14
 
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abstract:

Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique

Remigiusz Antończyk
,
Ewa Trejnowska
,
Jerzy Pacholewicz
,
Tomasz Wolny
,
Paweł Nadziakiewicz
,
Karolina Antończyk
,
Izabela Copik
,
Magdalena Piontek
,
Małgorzata Jasińska
,
Krzysztof Filipiak
,
Maciej Głowacki
,
Maciej Gawlikowski
,
Marcin Borowicz
,
Roman Kustosz
,
Jacek Waszak
,
Piotr Przybyłowski
,
Marian Zembala
,
Michał Zakliczyński
,
Michał Oskar Zembala

Kardiochirurgia i Torakochirurgia Polska 2017; 14 (1): 76-78
Online publish date: 2017/03/31
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Left ventricular assist device (LVAD) thrombosis remains a dreadful complication of mechanical circulatory support, with an incidence of 8–12% depending on the pump type and patient’s comorbidities. Fibrinolysis may be considered early in pump thrombosis, but when contraindicated a pump exchange remains the only alternative. This short report documents an emergency LVAD exchange in a 55-year-old man who underwent LVAD (HeartWare Inc) implantation in 2013 as a bridge to transplantation. Four months after the initial surgery, he suffered from a hemorrhagic stroke despite properly managed anticoagulation. On February 17th, 2017 he was re-admitted with LVAD pump thrombosis. As fibrinolysis was contraindicated, an emergency pump exchange was performed via a limited thoracic incision in order to minimize surgical trauma, reduce intraoperative complications and facilitate immediate post-operative recovery. This report documents the very first LVAD pump exchange as well as the first one performed via a minimally invasive approach in Poland.
keywords:

left ventricular assist device, HVAD, pump, excange, HeartWare, thrombosis, mini, minimally invasive

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