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Case Reports
. 2019 Jul 1;14(1):126.
doi: 10.1186/s13019-019-0944-5.

LVAD with concomitant rapid deployment valve implantation - a case report

Daniel D Holloway  1 , Lindsay C Jones  1 , Soo J Howell  1 , Jonathan D Rich  2 , Duc Thinh Pham  3
Affiliations
Case Reports

LVAD with concomitant rapid deployment valve implantation - a case report

Daniel D Holloway et al. J Cardiothorac Surg. .

Abstract

Background: Aortic valve insufficiency can have significant hemodynamic consequences for patients with left ventricular assist devices. A circulation loop can limit systemic blood flow and increase left ventricular filling pressure.

Case presentation: A 64-year-old male with non-ischemic dilated cardiomyopathy underwent Heartware™ HVAD left ventricular assist device implantation with successful concomitant aortic valve replacement with an Edwards Intuity rapid deployment prosthetic valve.

Conclusions: The use of this rapid deployment valve may have benefits over other techniques including shorter cross clamp times during surgery, intermediate-long term durability, and preservation of aortic valve opening to allow for potential ventricular recovery. The Intuity rapid deployment valve should thus be considered a viable and suitable option for aortic insufficiency intervention during LVAD implantation.

Keywords: Aortic valve replacement; Left ventricular assist device; Mechanical circulatory support; Rapid deployment valve.

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Conflict of interest statement

DP - Consultant for MedTronic and Abbott (<$10 k each).

JR, DH, LJ, SH have no competing interests to declare.

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