Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient
Abstract Ventricular fibrillation, a life‐threatening ventricular arrhythmia, may result in pulselessness, loss of consciousness and sudden cardiac death. In this case report, we describe our experience in managing a 54‐year‐old man with HeartMate3 left ventricular assist device (LVAD) as a bridge t...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-10-01
|
| Series: | ESC Heart Failure |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ehf2.13980 |
| _version_ | 1797794315713380352 |
|---|---|
| author | Mahmood Abu Akel Aviv A. Shaul Gustavo R. Goldenberg Yaron D. Barac Binyamin Ben‐Avraham Dan Gorfil Dan Aravot Tuvia Ben‐Gal |
| author_facet | Mahmood Abu Akel Aviv A. Shaul Gustavo R. Goldenberg Yaron D. Barac Binyamin Ben‐Avraham Dan Gorfil Dan Aravot Tuvia Ben‐Gal |
| author_sort | Mahmood Abu Akel |
| collection | DOAJ |
| description | Abstract Ventricular fibrillation, a life‐threatening ventricular arrhythmia, may result in pulselessness, loss of consciousness and sudden cardiac death. In this case report, we describe our experience in managing a 54‐year‐old man with HeartMate3 left ventricular assist device (LVAD) as a bridge to transplantation due to dilated non‐ischemic cardiomyopathy, presenting with incessant ventricular arrhythmia for 35 days despite multiple attempts to restore normal rhythm with external direct current cardioversion and anti‐arrhythmic medications. The patient remained stable in ventricular arrhythmia with no progression to asystole, but hemodynamic collapse due to right heart failure occurred in the third week. Combined use of two mechanical circulatory support devices (LVAD with VA ECMO) was needed to achieve haemodynamic and metabolic stability, eventually leading to successful heart transplantation in the index admission. The patient was discharged home 2 weeks after transplantation in good clinical condition. |
| first_indexed | 2024-03-13T03:00:56Z |
| format | Article |
| id | doaj.art-c22a48e6be2b4e1a8bcfe4279dedc1c0 |
| institution | Directory Open Access Journal |
| issn | 2055-5822 |
| language | English |
| last_indexed | 2024-03-13T03:00:56Z |
| publishDate | 2022-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj.art-c22a48e6be2b4e1a8bcfe4279dedc1c02023-06-27T14:49:57ZengWileyESC Heart Failure2055-58222022-10-01953593359610.1002/ehf2.13980Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patientMahmood Abu Akel0Aviv A. Shaul1Gustavo R. Goldenberg2Yaron D. Barac3Binyamin Ben‐Avraham4Dan Gorfil5Dan Aravot6Tuvia Ben‐Gal7Heart Failure Unit, Department of Cardiology Rabin Medical Center‐Beilinson Hospital Petah Tikva IsraelHeart Failure Unit, Department of Cardiology Rabin Medical Center‐Beilinson Hospital Petah Tikva IsraelSackler Faculty of Medicine Tel Aviv University Tel Aviv IsraelDepartment of Cardiothoracic Surgery Rabin Medical Center‐Beilinson Hospital Petah Tikva IsraelHeart Failure Unit, Department of Cardiology Rabin Medical Center‐Beilinson Hospital Petah Tikva IsraelDepartment of Cardiothoracic Surgery Rabin Medical Center‐Beilinson Hospital Petah Tikva IsraelDepartment of Cardiothoracic Surgery Rabin Medical Center‐Beilinson Hospital Petah Tikva IsraelHeart Failure Unit, Department of Cardiology Rabin Medical Center‐Beilinson Hospital Petah Tikva IsraelAbstract Ventricular fibrillation, a life‐threatening ventricular arrhythmia, may result in pulselessness, loss of consciousness and sudden cardiac death. In this case report, we describe our experience in managing a 54‐year‐old man with HeartMate3 left ventricular assist device (LVAD) as a bridge to transplantation due to dilated non‐ischemic cardiomyopathy, presenting with incessant ventricular arrhythmia for 35 days despite multiple attempts to restore normal rhythm with external direct current cardioversion and anti‐arrhythmic medications. The patient remained stable in ventricular arrhythmia with no progression to asystole, but hemodynamic collapse due to right heart failure occurred in the third week. Combined use of two mechanical circulatory support devices (LVAD with VA ECMO) was needed to achieve haemodynamic and metabolic stability, eventually leading to successful heart transplantation in the index admission. The patient was discharged home 2 weeks after transplantation in good clinical condition.https://doi.org/10.1002/ehf2.13980Combined ECMO and LVADCase reportHeart transplantation post ECMO and LVADVentricular arrhythmia in LVAD |
| spellingShingle | Mahmood Abu Akel Aviv A. Shaul Gustavo R. Goldenberg Yaron D. Barac Binyamin Ben‐Avraham Dan Gorfil Dan Aravot Tuvia Ben‐Gal Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient ESC Heart Failure Combined ECMO and LVAD Case report Heart transplantation post ECMO and LVAD Ventricular arrhythmia in LVAD |
| title | Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient |
| title_full | Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient |
| title_fullStr | Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient |
| title_full_unstemmed | Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient |
| title_short | Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient |
| title_sort | combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient |
| topic | Combined ECMO and LVAD Case report Heart transplantation post ECMO and LVAD Ventricular arrhythmia in LVAD |
| url | https://doi.org/10.1002/ehf2.13980 |
| work_keys_str_mv | AT mahmoodabuakel combinedmechanicalcirculatorysupportforventricularfibrillationinleftventricularassistdevicepatient AT avivashaul combinedmechanicalcirculatorysupportforventricularfibrillationinleftventricularassistdevicepatient AT gustavorgoldenberg combinedmechanicalcirculatorysupportforventricularfibrillationinleftventricularassistdevicepatient AT yarondbarac combinedmechanicalcirculatorysupportforventricularfibrillationinleftventricularassistdevicepatient AT binyaminbenavraham combinedmechanicalcirculatorysupportforventricularfibrillationinleftventricularassistdevicepatient AT dangorfil combinedmechanicalcirculatorysupportforventricularfibrillationinleftventricularassistdevicepatient AT danaravot combinedmechanicalcirculatorysupportforventricularfibrillationinleftventricularassistdevicepatient AT tuviabengal combinedmechanicalcirculatorysupportforventricularfibrillationinleftventricularassistdevicepatient |