Deactivation of left ventricular assist device (LVAD) after recovery of cardiac function: A case report

被引：1
作者：
Alkattan, Hani N. [1 ,2 ,3 ]
Kjellman, Ulf [1 ,2 ,3 ]
Selimovic, Nedim [1 ,2 ,3 ]
Alomrani, Ahmed [1 ,2 ,3 ]
Alghamdi, Abdullah A. [1 ,2 ,3 ]
机构：
[1] Minist Natl Guard Hlth Affairs, Dept Cardiac Sci, Riyadh, Saudi Arabia
[2] King Abdullah Int Med Res Ctr, Riyadh, Saudi Arabia
[3] King Saud bin Abdulaziz Univ Hlth Sci, Riyadh, Saudi Arabia
来源：
JOURNAL OF CARDIAC SURGERY | 2021年 / 36卷 / 08期
关键词：
deactivation; heart failure; left ventricular assist device; SUCCESSFUL BRIDGE; REMOVAL;
D O I：
10.1111/jocs.15609
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Recovery of heart function during support with a durable left ventricular assist device (LVAD) is uncommon. There are few reports of cases that address eliminating the LVAD without the need for a heart transplant. Radical surgical removal of the LVAD may distort the left ventricular cavity and thus affect its function, in addition to the associated risks of the operation. Innovative ways to deactivate the LVAD, relying mainly on vascular plugs implanting in the outflow graft, have been used. Few reports have shown the success of this method. In this case report, we review the story of a young patient with advanced heart failure who underwent LVAD implantation. After six months, there was a dramatic improvement of heart function that enabled successful deactivation of the device.
引用
收藏
页码：2974 / 2978
页数：5
相关论文
共 11 条
[1]   Left ventricular assist device and drug therapy for the reversal of heart failure [J].
Birks, Emma J. ;
Tansley, Patrick D. ;
Hardy, James ;
George, Robert S. ;
Bowles, Christopher T. ;
Burke, Margaret ;
Banner, Nicholas R. ;
Khaghani, Asghar ;
Yacoub, Magdi H. .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (18) :1873-1884
[2]   A felt plug simplifies left ventricular assist device removal after successful bridge to recovery [J].
Cohn, William E. ;
Gregoric, Igor D. ;
Radovancevic, Branislav ;
Frazier, O. H. .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2007, 26 (11) :1209-1211
[3]   Pre-Explant Stability of Unloading-Promoted Cardiac Improvement Predicts Outcome After Weaning From Ventricular Assist Devices [J].
Dandel, Michael ;
Weng, Yuguo ;
Siniawski, Henryk ;
Potapov, Evgenij ;
Krabatsch, Thomas ;
Lehmkuhl, Hans B. ;
Drews, Thorsten ;
Knosalla, Christoph ;
Hetzer, Roland .
CIRCULATION, 2012, 126 (11) :S9-S19
[4]   Inflow Graft Interruption as a Simple Method for Left Ventricular Assist Device Removal After Successful Bridge to Recovery [J].
Gonzalez-Stawinski, Gonzalo V. ;
Mountis, Maria M. ;
Cohn, William E. ;
Frazier, O. H. .
JOURNAL OF CARDIAC SURGERY, 2012, 27 (03) :397-399
[5]   First-in-man explantation of a HeartMate 3 left ventricular assist device via customized plug [J].
Hanke, Jasmin S. ;
Dogan, Guenes ;
Haverich, Axel ;
Schmitto, Jan D. .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2020, 57 (03) :604-606
[6]   Use of a continuous-flow device in patients awaiting heart transplantation [J].
Miller, Leslie W. ;
Pagani, Francis D. ;
Russell, Stuart D. ;
John, Ranjit ;
Boyle, Andrew J. ;
Aaronson, Keith D. ;
Conte, John V. ;
Naka, Yoshifumi ;
Mancini, Donna ;
Delgado, Reynolds M. ;
MacGillivray, Thomas E. ;
Farrar, David J. ;
Frazier, O. H. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (09) :885-896
[7]   Recovery plug for HeartMate 3 left ventricular assist device [J].
Mulzer, Johanna ;
Faerber, Gloria ;
Kaufmann, Friedrich ;
Potapov, Evgenij V. .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2019, 157 (02) :E35-E37
[8]   Minimally Invasive LVAD Deactivation in a 65-Year-Old Man with Recurrent Pump Thrombosis and Left Ventricular Recovery [J].
Pendyal, Akshay ;
Chien, Christopher V. ;
Mudd, James O. ;
Gelow, Jill M. .
TEXAS HEART INSTITUTE JOURNAL, 2017, 44 (01) :70-72
[9]   Percutaneous withdrawal of HeartWare HVAD left ventricular assist device support [J].
Pettit, Stephen J. ;
Shapiro, Leonard M. ;
Lewis, Clive ;
Parameshwar, Jayan K. ;
Tsui, Steven S. L. .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2015, 34 (07) :990-992
[10]   Advanced Heart Failure Treated with Continuous-Flow Left Ventricular Assist Device [J].
Slaughter, Mark S. ;
Rogers, Joseph G. ;
Milano, Carmelo A. ;
Russell, Stuart D. ;
Conte, John V. ;
Feldman, David ;
Sun, Benjamin ;
Tatooles, Antone J. ;
Delgado, Reynolds M., III ;
Long, James W. ;
Wozniak, Thomas C. ;
Ghumman, Waqas ;
Farrar, David J. ;
Frazier, O. Howard .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 361 (23) :2241-2251
12