Akdogan Raziye Ecem, Check Larissa, Houston Brian A, Carnicelli Anthony P, Griffin Jan M, Atkins Jessica L, Witer Lucas J, Kilic Arman, Tedford Ryan J, Baker Grace, Manger Darian, Hajj Jennifer, Rao Vishal N
Division of Cardiology, Medical University of South Carolina, Charleston, South Carolina, USA.
Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
JACC Case Rep. 2024 Aug 7;29(15):102441. doi: 10.1016/j.jaccas.2024.102441.
Patients with HeartMate 3 left ventricular assist devices may develop aortic root thrombus, yet its prevalence and associated risks are unknown. We present 2 patients who developed aortic root thromboembolism and acute coronary occlusions. We additionally present heart transplantation as viable treatment for thromboembolic disease and refractory right ventricular failure.
植入HeartMate 3左心室辅助装置的患者可能会发生主动脉根部血栓形成,但其发生率和相关风险尚不清楚。我们报告了2例发生主动脉根部血栓栓塞和急性冠状动脉闭塞的患者。我们还提出心脏移植是治疗血栓栓塞性疾病和难治性右心室衰竭的可行方法。