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Vélez-Martínez, Mariella; Albaugh, Mary Ann; Amin, Alpesh A.; Thibodeau, Jennifer T.; Mammen, Pradeep P. A.; Markham, David W.; Reimold, Sharon C.; Drazner, Mark H.; McKinnon, Leah J.; Meyer, Dan M.; Bethea, Brian T.; Mishkin, Joseph D. (2013)
Publisher: Co-Action Publishing
Journal: Mechanical Circulatory Support
Languages: English
Types: Article
Subjects: biventricular mechanical support; advanced heart failure; biventricular assist devices; HeartWare®; hypoxemia

Classified by OpenAIRE into

mesheuropmc: cardiovascular diseases, cardiovascular system, circulatory and respiratory physiology
We present the case of a 59-year-old Caucasian man with a nonischemic cardiomyopathy who underwent implantation of HeartWare® (HeartWare Inc., Framingham, MA) ventricular assist devices (HVAD) for biventricular support due to refractory cardiogenic shock after attempted ventricular tachycardia ablation. After implantation of biventricular HVADs, he developed hypoxemia that failed to correct with administration of supplemental oxygen. A patent foramen ovale (PFO) was discovered on postoperative transesophageal echocardiogram (TEE). Speed adjustment of both the right and left HVADs under TEE guidance allowed for spontaneous closure of the PFO and resolution of the hypoxemia.Keywords: biventricular mechanical support; advanced heart failure; biventricular assist devices; HeartWare®; hypoxemia(Published: 18 October 2013)Citation: Mechanical Circulatory Support 2013, 4: 22638 - http://dx.doi.org/10.3402/mcs.v4i0.22638
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Dell'Aquila AM, Schneider SR, Schlarb D, Redwan B, Sindermann JR, Ellger B, et al. Initial clinical experience with the HeartWare left ventricular assist system: a single-center report. Ann Thorac Surg 2013; 95(1): 170 7.
    • 2. Aaronson KD, Slaughter MS, Miller LW, McGee EC, Cotts WG, Acker MA, et al. Use of an intrapericardial, continuousflow, centrifugal pump in patients awaiting heart transplantation. Circulation 2012; 125(25): 3191 200.
    • 3. Krabatsch T, Potapov E, Stepanenko A, Schweiger M, Kukucka M, Huebler M, et al. Biventricular circulatory support with two miniaturized implantable assist devices. Circulation 2011; 124(Suppl 11): S179 86.
    • 4. Friedline K, Hassinger P. Total artificial heart freedom driver in a patient with end-stage biventricular heart failure. AANA J 2012; 80(2): 105 12.
    • 5. Loforte A, Stepanenko A, Potapov EV, Musumeci F, Dranishnikov N, Schweiger M, et al. Temporary right ventricular mechanical support in high-risk left ventricular assist device recipients versus permanent biventricular or total artificial heart support. Artif Organs. 2013; 37(6): 523 30.
    • 6. Patlolla B, Beygui R, Haddad F. Right-ventricular failure following left ventricle assist device implantation. Curr Opin Cardiol 2013; 28(2): 223 33.
    • 7. Kormos RL, Teuteberg JJ, Pagani FD, Russell SD, John R, Miller LW, et al. Right ventricular failure in patients with the HeartMate II continuous-flow left ventricular assist device: incidence, risk factors, and effect on outcomes. J Thorac Cardiovasc Surg 2010; 139(5): 1316 24.
    • 8. Hagen PT, Scholz DG, Edwards WD. Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc 1984; 59(1): 17 20.
    • 9. Nakatani S, Thomas JD, Savage RM, Vargo RL, Smedira NG, McCarthy PM. Prediction of right ventricular dysfunction after left ventricular assist device implantation. Circulation 1996; 94(Suppl 9): II216 21.
    • 10. Marty P, Mejean S, Boudou N, Mayeur N, Minville V, Galinier M. Patent foramen ovale appearance with association of left ventricular assist device and mechanical ventilation. Am J Emerg Med 2012; 30(1): 259, e1 3.
    • 11. Kilger E, Strom C, Frey L, Felbinger TW, Pichler B, Tichy M, et al. Intermittent atrial level right-to-left shunt with temporary hypoxemia in a patient during support with a left ventricular assist device. Acta Anaesthesiol Scand 2000; 44(1): 125 7.
    • 12. Bonvini RF, Verin V, Lerch R, Gerard I, Sierra J, Spratt JC. Percutaneous closure of patent foramen ovale in a patient presenting arterial hypoxaemia and supported with biventricular assist device. Intensive Care Med 2005; 31(4): 602 3.
    • 13. Loforte A, Violini R, Musumeci F. Transcatheter closure of patent foramen ovale for hypoxemia during left ventricular assist device support. J Card Surg 2012; 27(4): 528 9.
    • 14. Liao KK, Miller L, Toher C, Ormaza S, Herrington CS, Bittner HB, et al. Timing of transesophageal echocardiography in diagnosing patent foramen ovale in patients supported with left ventricular assist device. Ann Thorac Surg 2003; 75(5): 1624 6.
    • 15. Majd RE, Kavarana MN, Bouvette M, Dowling RD. Improved technique to diagnose a patent foramen ovale during left ventricular assist device insertion. Ann Thorac Surg 2006; 82(5): 1917 8.
    • 16. Slaughter MS, Pagani FD, Rogers JG, Miller LW, Sun B, Russell SD, et al. Clinical management of continuous-flow left ventricular assist devices in advanced heart failure. J Heart Lung Transplant 2010; 29(Suppl 4): S1 39.
    • 17. Saito S, Sakaguchi T, Miyagawa S, Yoshikawa Y, Yamauchi T, Ueno T, et al. Biventricular support using implantable continuousflow ventricular assist devices. J Heart Lung Transplant 2011; 30(4): 475 8.
    • 18. Strueber M, Meyer AL, Malehsa D, Haverich A. Successful use of the HeartWare HVAD rotary blood pump for biventricular support. J Thorac Cardiovasc Surg 2010; 140(4): 936 7.
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  • Discovered through pilot similarity algorithms. Send us your feedback.

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