Document Detail


Thrombotic occlusion of an aortic-root xenograft during left ventricular assistance.
MedLine Citation:
PMID:  21423473     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 45-year-old man underwent repair of a congenital bicuspid aortic valve and complex aortic-root aneurysm with an aortic-root xenograft. A CentriMag® left ventricular assist device was implanted for cardiac support and was subsequently replaced with a HeartMate II® left ventricular assist device. A day later, the patient was returned to the operating room for control of bleeding, and thrombotic occlusion of the prosthetic aortic valve was detected. The patient underwent thrombus removal, oversewing of the prosthetic valve, and bypass of the left anterior descending coronary artery. This case emphasizes the hazard of bypassing a failed left ventricle with a cardiac assist device after aortic valve replacement, even with a bioprosthesis.
Authors:
Zumrut T Demirozu; Jonathan Ho; Roberta C Bogaev; Scott A Lemaire; Joseph S Coselli; O H Frazier
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  38     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2011  
Date Detail:
Created Date:  2011-03-22     Completed Date:  2011-07-07     Revised Date:  2011-07-27    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  66-7     Citation Subset:  IM    
Affiliation:
The Center for Cardiac Support, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm / surgery*
Aortic Valve / abnormalities,  surgery*
Bioprosthesis*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / adverse effects,  instrumentation*
Coronary Artery Bypass
Graft Occlusion, Vascular / etiology*,  surgery
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation / adverse effects,  instrumentation*
Heart-Assist Devices / adverse effects*
Humans
Male
Middle Aged
Prosthesis Design
Reoperation
Thrombosis / etiology*,  surgery
Transplantation, Heterologous
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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