Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy

Gamal Marey, Sameh M. Said, Rebecca Ameduri, Marie E. Steiner, Michael Bowler, Ashley Loomis, Subin Jang, Massimo Griselli

Research output: Contribution to journalArticlepeer-review

Abstract

Ventricular assist device (VAD) management continues to be a challenge in the presence of restrictive physiology. Left atrial (LA) decompression is not satisfactory even with good function and position of the left ventricular cannula. We describe an alternate approach with LA cannulation via the left atrial appendage (LAA) as a rescue strategy in a patient who had restrictive physiology, in our case was secondary to viral myocarditis acute systolic heart failure with subsequent insidious diffuse endomyocardial fibrosis and superimposed massive calcification, causing inadequate emptying of the left ventricle despite optimal VAD apical cannula position.

Original languageEnglish (US)
Pages (from-to)E157-E159
JournalASAIO Journal
Volume67
Issue number9
DOIs
StatePublished - Sep 1 2021

Bibliographical note

Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.

Keywords

  • Berlin Heart Excor
  • acute heart failure
  • inflow cannula
  • left atrial appendage
  • left atrium
  • myocarditis
  • ventricular assist device

PubMed: MeSH publication types

  • Journal Article

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