Gaines Jacob, Saunders Paul, Kaleya Ron, Azar Omar, Schulman Ariel
College of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, 11203, USA.
Department of Surgery, Maimonides Medical Center, Brooklyn, NY, 11219, USA.
Urol Case Rep. 2021 Mar 25;38:101653. doi: 10.1016/j.eucr.2021.101653. eCollection 2021 Sep.
The left ventricular assist device (LVAD) is an implanted mechanical pump that supports circulatory function for patients with advanced heart failure. LVAD survival has continuously improved over the last decade with an increasing number of patients requiring non-cardiac surgeries. We discuss a 77-year-old, LVAD-dependent male with an enlarging, indurated right testicular mass. Radical inguinal orchiectomy confirmed pure seminoma. The case highlights perioperative considerations in this unique cohort of patients.
左心室辅助装置（LVAD）是一种植入式机械泵，用于为晚期心力衰竭患者提供循环功能支持。在过去十年中，随着越来越多的患者需要进行非心脏手术，LVAD患者的生存率持续提高。我们讨论了一名77岁、依赖LVAD的男性患者，其右侧睾丸肿物增大且质地变硬。根治性腹股沟睾丸切除术证实为纯精原细胞瘤。该病例突出了这类特殊患者群体围手术期的注意事项。
