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Case Reports
. 2022 Feb 1;11(1):e11-e13.
doi: 10.1055/s-0041-1741554. eCollection 2022 Jan.

Left Ventricular Assist Device Implantation in a Patient with Ventricular Pseudoaneurysm

Dejan Radakovic  1 , Kiril Penov  1 , Gülmisal Güder  2 , Ivan Aleksic  1
Affiliations
Case Reports

Left Ventricular Assist Device Implantation in a Patient with Ventricular Pseudoaneurysm

Dejan Radakovic et al. Thorac Cardiovasc Surg Rep. .

Abstract

Background Left ventricular assist device (LVAD) implantation after contained LV rupture (pseudoaneurysm) represents a difficult surgical problem. Case Description We describe the surgical approach for such a patient. The sewing ring was implanted utilizing a Dacron patch for reconstruction of the free wall, fibrotic LV wall remnants, and a Teflon strip giving additional support for cannula position and hemostasis. The patient had an uneventful recovery and is well 19 months after the procedure. Conclusion LV pseudoaneurysm is not a contraindication for permanent LVAD implantation.

Keywords: LVAD; heart; heart failure.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
( A ) Left ventricular pseudoaneurysm on computed tomography (arrow). ( B ) Rupture site. ( C ) Extensive myocardial necrosis (arrow) after partial excision. ( D ) View of reconstructed left ventricle before incision for placement of the pump.
Fig. 2
Fig. 2
( A ) Ethibond U-sutures from ventricular side of Dacron patch, fibrous scar, and Teflon strip. ( B ) Final appearance before pump implantation. Note free access to the fixation screw (arrow). ( C ) Predischarge X-ray demonstrating proper inflow cannula position.
See this image and copyright information in PMC

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