Emergent decommissioning of HeartMate 3 for life-threatening hemorrhage

Reginald E Du; Ryan S Bedi; W Charles Sternbergh 3rd; Aditya Bansal

doi:10.1016/j.jvscit.2023.101370

Emergent decommissioning of HeartMate 3 for life-threatening hemorrhage

J Vasc Surg Cases Innov Tech. 2023 Nov 20;10(2):101370. doi: 10.1016/j.jvscit.2023.101370. eCollection 2024 Apr.

Authors

Reginald E Du¹, Ryan S Bedi¹, W Charles Sternbergh 3rd^{2

3}, Aditya Bansal^{1

2}

Affiliations

¹ Section of Cardiothoracic Surgery, Department of Surgery, Ochsner Health, New Orleans, LA.
² UQ-Ochsner MD Program, The University of Queensland Faculty of Medicine, Ochsner Health, New Orleans, LA.
³ Section of Vascular and Endovascular Surgery, Department of Surgery, Ochsner Health, New Orleans, LA.

Abstract

Left ventricular assist devices are known for the treatment of heart failure. We present a patient who underwent emergent decommissioning of his left ventricular assist device after experiencing life-threatening hemorrhage. In this case, the patient's outflow graft was avulsed from his left subclavian artery. We used a covered stent to first exclude the outflow graft and an Amplatzer II plug (Abbott Cardiovascular) to then occlude the inflow cannula. Accessing the inflow cannula of the left ventricular assist device was challenging. In hindsight, we could have accessed and occluded the outflow graft via the left subclavian artery before deploying the covered stent.

Keywords: Amplatzer II plug; Covered stent; Decommission; Left ventricular assist device.

Publication types

Case Reports