Outflow Graft Obstruction due to Local Aortic Dissection After Implantation of Left Ventricle Assist Device (HeartMate 3)

Author:

Capek Lukas1ORCID,Huber Adrian Thomas2,Reineke David3,Dobner Stephan1,Hunziker Lukas Christoph1,Schnegg Bruno1

Affiliation:

1. From the Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

2. Department of Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

3. Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Abstract

Left ventricular assist devices (LVADs) improve symptoms and outcomes in patients with advanced heart failure. We report the case of a patient with a freshly implanted HeartMate 3 LVAD, suffering abruptly on postoperative day 55 from pejoration of his heart failure with multiple episodes of low-flow alarm. Outflow graft obstruction (OGO) due to local aortic dissection was diagnosed with multimodality imaging. After a multidisciplinary discussion, a surgical approach was decided, and the patient benefited from a revision of his outflow graft.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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