Ventricular thrombus and subarachnoid bleeding during support with ventricular assist devices.
We report the case of a 23-year-old man with acute aortic valve insufficiency caused by endocarditis, who after emergency aortic valve replacement developed biventricular heart failure. The heart failure was treated with temporary assist devices. Subarachnoid bleeding and thrombus obstruction of the left ventricular outflow tract was detected. The postoperative course is presented with special emphasis on management of subarachnoid bleeding and the simultaneous use of anticoagulation necessary for ventricular assist devices.
Gruber
E M
EM
Department of Cardiothoracic Anesthesia and Intensive Care, Vienna General Hospital, Austria. eva.gruber@univie.oc.at
Seitelberger
R
R
Mares
P
P
Hiesmayr
M J
MJ
D000328:Adult; D001022:Aortic Valve Insufficiency / Q000601:surgery; D001777:Blood Coagulation; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D017548:Echocardiography, Transesophageal; D006333:Heart Failure / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006801:Humans; D008297:Male; D013345:Subarachnoid Hemorrhage / Q000209:etiology*; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*