title: Intraperitoneal HeartMate left ventricular assist device placement after endovascular repair of an abdominal aortic aneurysm.
abstract: The presence of an abdominal aortic aneurysm (AAA) can be a contraindication to placement of a HeartMate left ventricular assist device (LVAD) for end-stage heart failure. We describe a 65-year-old patient who underwent endovascular repair of an AAA before placement of a LVAD as destination therapy for end-stage heart failure. This case is the first report of endovascular AAA repair before VAD placement. It not only demonstrates the utility of endovascular AAA repair in patients with undue co-morbidities, but also that the presence of an AAA should not be a contraindication to LVAD placement, if corrected.
authors.affiliation: Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. spaul@partners.org
authors.forename: Subroto
authors.initials: S
authors.lastname: Paul
authors.forename: Christopher D
authors.initials: CD
authors.lastname: Owens
authors.forename: Harbinder
authors.initials: H
authors.lastname: Singh
authors.forename: Michael
authors.initials: M
authors.lastname: Belkin
authors.forename: Gregory S
authors.initials: GS
authors.lastname: Couper
authors.forename: Prem
authors.initials: P
authors.lastname: Shekar
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001027:Aortography; D002404:Catheterization; D015897:Comorbidity; D000075202:Contraindications; D005263:Femoral Artery / Q000637:transplantation; D006333:Heart Failure / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000601:surgery*