Department of Cardiovascular Surgery, Ege University Faculty of Medicine, Bornova, 35100, Izmir, Turkey.
Department of Radiology, Ege University Faculty of Medicine, Izmir, Turkey.
J Artif Organs. 2024 Jun;27(2):154-158. doi: 10.1007/s10047-023-01400-4. Epub 2023 May 5.
Left ventricular assist device (LVAD) systems are preferred as a bridging to transplantation or as a destination therapy in the treatment of end-stage heart failure. LVAD-related complications are seen in different clinical variations with the widespread use of LVADs. Some of these complications are seen as related to outflow graft, such as graft stenosis, graft kinking and graft thrombosis. Outflow graft complications have a direct impact on LVAD flow rate and acutely impair the clinical condition of patients. Treatment modalities include surgical approach, endovascular approach, and medical approach. In this case report, we aim to share a 57-year-old male patient, who had outflow graft stenosis near the anastomosis line between ascending aorta and the left ventricular assist device outflow graft, and the endovascular treatment.
左心室辅助装置（LVAD）系统被推荐用于治疗终末期心力衰竭，作为移植的桥接治疗或作为终点治疗。随着 LVAD 的广泛应用，不同的临床变化会出现与 LVAD 相关的并发症。其中一些并发症与流出道移植物有关，如移植物狭窄、移植物扭结和移植物血栓形成。流出道移植物并发症直接影响 LVAD 的流量，并使患者的临床状况急剧恶化。治疗方式包括手术方法、血管内方法和药物方法。在本病例报告中，我们旨在分享一位 57 岁男性患者的病例，该患者在升主动脉与左心室辅助装置流出道移植物的吻合线附近出现流出道移植物狭窄，并采用血管内治疗。
