Severe pulmonary valve insufficiency caused by transjugular cannulation of pulmonary artery for right ventricular assist device: diagnosis and surgical solution-a case report.
Leonhard WertPia LanmüllerSascha OttJohanna MulzerChristoph T StarckVolkmar FalkEvgenij V PotapovPublished in: Journal of surgical case reports (2023)
Implantation of a temporary percutaneous right ventricular assist device (RVAD) in patients with right heart failure after left ventricular assist device (LVAD) implantation is an established technique that may cause complications. We present a 60-year-old male patient who underwent urgent LVAD implantation. On the second postoperative day the patient developed acute right heart failure. We implanted a temporary percutaneous RVAD with two cannulas via the right internal jugular vein and the right femoral vein. Transesophageal echocardiography revealed severe pulmonary insufficiency. After performing re-sternotomy we anastomosed a prosthetic graft to the pulmonary trunk (PT), performed subxiphoid tunneling of the graft and replaced the transjugular outflow cannula. The pulmonary regurgitation caused by the percutaneous transvalvular cannula disappeared. In such case a direct anastomosis to the PT is the solution.
Keyphrases
- pulmonary hypertension
- pulmonary artery
- left ventricular assist device
- heart failure
- ultrasound guided
- pulmonary arterial hypertension
- respiratory failure
- extracorporeal membrane oxygenation
- minimally invasive
- coronary artery
- aortic valve
- left ventricular
- case report
- radiofrequency ablation
- risk factors
- atrial fibrillation
- drug induced
- liver failure
- mitral valve
- aortic valve replacement
- aortic stenosis
- cardiac resynchronization therapy
- left atrial appendage
- hepatitis b virus
- aortic dissection
- lower limb