Alternative approach for use of a left ventricular assist device with a thrombosed prosthetic valve. |
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Authors: | Marc P Pelletier Ching Pin Chang Randall Vagelos Robert C Robbins |
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Institution: | Division of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California, USA. |
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Abstract: | Implantation of a left ventricular assist device is problematic in patients with prosthetic heart valves, due to an increased risk of thrombosis with embolization. This report describes the use of a bovine pericardial patch to close the aortic outflow tract in a patient with a mechanical aortic valve and end-stage cardiomyopathy who required urgent left ventricular assist support. A successful outcome suggests that this technique may be of value in treating similar patients. |
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