Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2017
Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Antończyk Remigiusz, Trejnowska Ewa, Pacholewicz Jerzy, Wolny Tomasz, Nadziakiewicz Paweł, Antończyk Karolina, Copik Izabela, Piontek Magdalena, Jasińska Małgorzata, Filipiak Krzysztof, Głowacki Maciej, Gawlikowski Maciej, Borowicz Marcin, Kustosz Roman, Waszak Jacek, Przybyłowski Piotr, Zembala Marian, Zakliczyński Michał, Zembala Michał Oskar
Аннотация
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.