Percutaneous endovascular stenting to treat left ventricular assist device outflow graft stenosis

A 72-year-old woman presented with acute symptoms of congestive heart failure exacerbation and cardiogenic shock secondary to flow alarms in her HeartMate II left ventricular assist device (LVAD) placed in 2013. Her rapid deterioration required venoarterial extracorporeal membrane oxygenation placem...

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Main Authors: Aaron Litvak, BA, Kshitij Desai, MD, MPHS, Craig Narins, MD, Doran Mix, MD
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428724000145
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author Aaron Litvak, BA
Kshitij Desai, MD, MPHS
Craig Narins, MD
Doran Mix, MD
author_facet Aaron Litvak, BA
Kshitij Desai, MD, MPHS
Craig Narins, MD
Doran Mix, MD
author_sort Aaron Litvak, BA
collection DOAJ
description A 72-year-old woman presented with acute symptoms of congestive heart failure exacerbation and cardiogenic shock secondary to flow alarms in her HeartMate II left ventricular assist device (LVAD) placed in 2013. Her rapid deterioration required venoarterial extracorporeal membrane oxygenation placement with subsequent cardiac catheterization. A computed tomography scan corroborated 90% stenosis of the LVAD outflow graft with mural thrombus causing cardiogenic shock. A multidisciplinary team proceeded with endovascular treatment of the LVAD outflow obstruction via realignment with percutaneous angioplasty and placement of covered stent grafts. After in-hospital recovery, she was discharged to a rehabilitation facility.
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spelling doaj.art-ec3548548cef406a8f29a0e66081ad1c2024-03-23T06:25:37ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-04-01102101430Percutaneous endovascular stenting to treat left ventricular assist device outflow graft stenosisAaron Litvak, BA0Kshitij Desai, MD, MPHS1Craig Narins, MD2Doran Mix, MD3Correspondence: Aaron Litvak, BA, Division of Vascular Surgery, University of Rochester Medical Center, 601 Elmwood Ave, Box 211, Rochester, NY 14642; Division of Vascular Surgery, University of Rochester Medical Center, Rochester, NYDivision of Vascular Surgery, University of Rochester Medical Center, Rochester, NYDivision of Vascular Surgery, University of Rochester Medical Center, Rochester, NYDivision of Vascular Surgery, University of Rochester Medical Center, Rochester, NYA 72-year-old woman presented with acute symptoms of congestive heart failure exacerbation and cardiogenic shock secondary to flow alarms in her HeartMate II left ventricular assist device (LVAD) placed in 2013. Her rapid deterioration required venoarterial extracorporeal membrane oxygenation placement with subsequent cardiac catheterization. A computed tomography scan corroborated 90% stenosis of the LVAD outflow graft with mural thrombus causing cardiogenic shock. A multidisciplinary team proceeded with endovascular treatment of the LVAD outflow obstruction via realignment with percutaneous angioplasty and placement of covered stent grafts. After in-hospital recovery, she was discharged to a rehabilitation facility.http://www.sciencedirect.com/science/article/pii/S2468428724000145Case reportLeft ventricular assist deviceLVADOGSOutflow graft stenosis
spellingShingle Aaron Litvak, BA
Kshitij Desai, MD, MPHS
Craig Narins, MD
Doran Mix, MD
Percutaneous endovascular stenting to treat left ventricular assist device outflow graft stenosis
Journal of Vascular Surgery Cases and Innovative Techniques
Case report
Left ventricular assist device
LVAD
OGS
Outflow graft stenosis
title Percutaneous endovascular stenting to treat left ventricular assist device outflow graft stenosis
title_full Percutaneous endovascular stenting to treat left ventricular assist device outflow graft stenosis
title_fullStr Percutaneous endovascular stenting to treat left ventricular assist device outflow graft stenosis
title_full_unstemmed Percutaneous endovascular stenting to treat left ventricular assist device outflow graft stenosis
title_short Percutaneous endovascular stenting to treat left ventricular assist device outflow graft stenosis
title_sort percutaneous endovascular stenting to treat left ventricular assist device outflow graft stenosis
topic Case report
Left ventricular assist device
LVAD
OGS
Outflow graft stenosis
url http://www.sciencedirect.com/science/article/pii/S2468428724000145
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