Case report of increased left ventricular end-diastolic pressure with pulsatile left ventricular assist device.
Mauricio Felippi de Sá MarchiSarah VerhemelRutger-Jan NuisNicolas M D A van MieghemPublished in: European heart journal. Case reports (2024)
Pulsatile LVAD enhances cardiac output by providing pulsatile support through a percutaneous bi-directional flow catheter. Despite expectations of reduced LVEDP and improved myocardial oxygen supply under LVAD support, we observed high LVEDP and clinical complaints of shortness of breath following TAVI and multi-vessel PCI. This case illustrates that an LVAD across the aortic valve may immobilize aortic leaflets and generate acute aortic regurgitation.
Keyphrases
- left ventricular assist device
- aortic valve
- left ventricular
- aortic stenosis
- acute myocardial infarction
- transcatheter aortic valve implantation
- transcatheter aortic valve replacement
- case report
- aortic valve replacement
- hypertrophic cardiomyopathy
- cardiac resynchronization therapy
- heart failure
- ultrasound guided
- mitral valve
- left atrial
- liver failure
- coronary artery disease
- percutaneous coronary intervention
- acute coronary syndrome
- minimally invasive
- respiratory failure
- atrial fibrillation
- aortic dissection
- drug induced
- antiplatelet therapy
- radiofrequency ablation
- intensive care unit
- hepatitis b virus
- pulmonary artery
- ejection fraction
- pulmonary hypertension
- extracorporeal membrane oxygenation