A Step-by-Step Problem-Solving Strategy in a Patient With Heart Failure and Cerebral Aneurysm.
Ann Thorac Surg
; 109(4): e285-e287, 2020 04.
Article
en En
| MEDLINE
| ID: mdl-31473176
ABSTRACT
Left ventricular assist device implantation is an established treatment for patients with end-stage heart failure. The HeartMate 3 (Abbott Laboratories, Abbott Park, IL) is a continuous-flow centrifugal pump, recently introduced in the clinic, that has shown greater hemocompatibility compared with similar devices of previous generations. Nevertheless, anticoagulation is still required after HeartMate 3 implant to avoid pump dysfunction. Hereafter, we describe the case of a patient candidate to left ventricular assist device implantation for end-stage heart failure presenting a concomitant cerebrovascular lesion, accidentally found during preoperative assessment, that would have contraindicated the procedure (for the prohibitive risk of cerebral hemorrhage), unless a step by step problem-solving approach was adopted.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Aneurisma Intracraneal
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Corazón Auxiliar
/
Implantación de Prótesis
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Insuficiencia Cardíaca
Tipo de estudio:
Etiology_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Ann Thorac Surg
Año:
2020
Tipo del documento:
Article
País de afiliación:
Italia