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 language | English (US) |
|---|---|
| Pages (from-to) | E157-E159 |
| Journal | ASAIO Journal |
| Volume | 67 |
| Issue number | 9 |
| DOIs | |
| State | Published - Sep 1 2021 |
Bibliographical note
Publisher Copyright:© 2021 Lippincott Williams and Wilkins. All rights reserved.
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- Berlin Heart Excor
- acute heart failure
- inflow cannula
- left atrial appendage
- left atrium
- myocarditis
- ventricular assist device
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