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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2024; 13(01): e37-e39
DOI: 10.1055/a-2461-3284
Case Report: Cardiac

Left Ventricular Assist Device Implantation with Concomitant Replacement of the Ascending Aorta

Sebastian Johannes Bauer 
1   Department of Cardiac Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Nordrhein-Westfalen, Germany
,
Yukiharu Sugimura
1   Department of Cardiac Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Nordrhein-Westfalen, Germany
,
Moritz Benjamin Immohr 
1   Department of Cardiac Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Nordrhein-Westfalen, Germany
,
Arash Mehdiani
1   Department of Cardiac Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Nordrhein-Westfalen, Germany
,
Artur Lichtenberg
1   Department of Cardiac Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Nordrhein-Westfalen, Germany
,
Payam Akhyari
1   Department of Cardiac Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Nordrhein-Westfalen, Germany
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Abstract

Dilated cardiomyopathy (DCM) is one of the main causes for end-stage heart failure. Until the transplantation, left ventricular assist devices (LVAD) have become an established treatment. We report a case of a 66-year-old patient with ischemic and DCM and suspected aortic ulcer formation. LVAD was implanted in the same session with a supracoronary aortic replacement. Bilateral cannulation of the subclavian arteries omitted the need of circulatory arrest and proximal aortic cross-clamping. Pneumonia-associated decarboxylation failure prolonged the postoperative intensive care period. The patient was finally discharged home on the 115th postoperative day.

Keywords

aortic disease - aorta/aortic - cardiopulmonary bypass - left ventricular assist device

Patients' Consent

The patient behind the described case has given written consent on publication of the contents of this report.




Publication History

Received: 12 October 2023

Accepted: 24 September 2024

Accepted Manuscript online:
05 November 2024

Article published online:
06 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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