JACC. Case reports · 2025
Implantation of a Left Ventricular Assist Device With Concomitant Repair of Ascending Aortic Aneurysm.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Rajah Tanisha, Blitzer David, Morton John, Copeland Hannah
Аннотация
BACKGROUND: Left ventricular assist device (LVAD) placement with concomitant cardiac procedures carries a similar procedural risk to isolated LVAD implantation. However, due to low rates of occurrence, data on concomitant procedural outcomes for patients with both ascending aortic aneurysms and end-stage heart failure requiring mechanical circulatory support are limited.
CASE SUMMARY: We describe the successful concomitant treatment of aortic and left ventricular disease in a 62-year-old man who presented with acute-on-chronic congestive heart failure.
DISCUSSION: Although surgical intervention is currently only recommended for aneurysms at 5.0 cm, in this case, the decision for concomitant aneurysm resection was based on the thin-walled nature of the aorta, concern about wall shear stresses, and potential acceleration of aneurysm growth with an LVAD in place.
TAKE-HOME MESSAGE: This case demonstrates the feasibility of addressing both the short- and long-term issues of aortic aneurysm growth and heart failure disease with an acceptable level of risk.
CASE SUMMARY: We describe the successful concomitant treatment of aortic and left ventricular disease in a 62-year-old man who presented with acute-on-chronic congestive heart failure.
DISCUSSION: Although surgical intervention is currently only recommended for aneurysms at 5.0 cm, in this case, the decision for concomitant aneurysm resection was based on the thin-walled nature of the aorta, concern about wall shear stresses, and potential acceleration of aneurysm growth with an LVAD in place.
TAKE-HOME MESSAGE: This case demonstrates the feasibility of addressing both the short- and long-term issues of aortic aneurysm growth and heart failure disease with an acceptable level of risk.