Xu Wenliu, Wang Chaojie, Zou Zengxiao, Wang Ge, Tan Songtao, Fan Xiaoping
Department of Cardiovascular Surgery, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Front Cardiovasc Med. 2025 Aug 22;12:1600757. doi: 10.3389/fcvm.2025.1600757. eCollection 2025.
Left ventricular assist device (LVAD) implantation is a highly effective procedure for the management of selected advanced heart failure patients, prolonging patient life and improving quality. Additional cardiac pathologies, especially valvular regurgitation or coronary heart disease, are common in LVAD recipients, whereas reports on the surgical management of heart failure combined with aortic disease are rare.
We present a case of a 60-year-old patient with an aortic sinus aneurysm, aortic regurgitation, and end-stage heart failure. LVAD implantation was performed concomitantly with the Bentall procedure and Cabrol shunt technique. The patient was discharged uneventfully on postoperative day 26. This suggests that combining LVAD implantation with additional cardiovascular procedures could be an alternative strategy for patients with complex heart failure conditions.
LVAD implantation combined with additional aortic surgery can be a feasible alternative with acceptable risk, especially for patients who have elected to pursue LVAD as destination therapy. Successful outcomes require adequate preoperative evaluation, experienced cardiac surgeons, and close postoperative care.
植入左心室辅助装置（LVAD）是治疗特定晚期心力衰竭患者的一种高效方法，可延长患者生命并提高生活质量。其他心脏病变，尤其是瓣膜反流或冠心病，在接受LVAD治疗的患者中很常见，而关于心力衰竭合并主动脉疾病的外科治疗报告却很少。
我们报告一例60岁患者，患有主动脉窦瘤、主动脉反流和终末期心力衰竭。在进行Bentall手术和Cabrol分流术的同时植入了LVAD。患者术后第26天顺利出院。这表明，对于患有复杂心力衰竭的患者，将LVAD植入与其他心血管手术相结合可能是一种替代策略。
LVAD植入联合其他主动脉手术可以是一种可行的替代方案，风险可接受，特别是对于选择将LVAD作为目标治疗的患者。成功的治疗结果需要充分的术前评估、经验丰富的心脏外科医生以及密切的术后护理。
