Aortic root thrombus after left ventricular assist device implantation and aortic valve replacement.
Jesse F VeenisJasper J BrugtsYunus C YalcinStefan RoestJos A BekkersOlivier C ManintveldAlina A ConstantinescuAd J J C BogersFelix ZijlstraKadir CaliskanPublished in: ESC heart failure (2020)
Data on the risk of aortic root thrombosis in patients with aortic valve replacement (AVR) and left ventricular assist device (LVAD) surgery are scarce. Two out of nine patients receiving AVR concomitant with LVAD surgery and two out of two patients receiving AVR on LVAD support, at our centre, developed an aortic root thrombus, all diagnosed with computed tomography (CT) angiography. These results demonstrate that patients with concomitant AVR and LVAD surgery, or AVR on LVAD support, have an increased risk of aortic root thrombosis. Therefore, early anti-thrombotic therapy and vigilant diagnostic follow-up, using CT scans, are warranted to prevent thromboembolic events.
Keyphrases
- left ventricular assist device
- aortic valve
- aortic valve replacement
- transcatheter aortic valve implantation
- aortic stenosis
- computed tomography
- minimally invasive
- transcatheter aortic valve replacement
- coronary artery bypass
- left ventricular
- surgical site infection
- positron emission tomography
- dual energy
- pulmonary embolism
- pulmonary artery
- aortic dissection
- contrast enhanced
- image quality
- heart failure
- stem cells
- ejection fraction
- pulmonary arterial hypertension
- magnetic resonance
- pulmonary hypertension
- cell therapy