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

IF 0.3 Q4 SURGERY Thoracic and Cardiovascular Surgeon Reports Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI:10.1055/a-2461-3284
Sebastian Johannes Bauer, Yukiharu Sugimura, Moritz Benjamin Immohr, Arash Mehdiani, Artur Lichtenberg, Payam Akhyari
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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 115 th postoperative day.

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左心室辅助装置植入伴升主动脉置换术。
扩张型心肌病(DCM)是终末期心力衰竭的主要原因之一。在移植之前,左心室辅助装置(LVAD)已成为一种确定的治疗方法。我们报告一例66岁的缺血性和DCM患者,怀疑主动脉溃疡形成。与冠状动脉上动脉置换术同时植入LVAD。双侧锁骨下动脉插管省去了循环停搏和主动脉近端交叉夹持的需要。肺炎相关脱羧失败延长了术后重症监护期。患者于术后第115天出院。
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