Subacute gastric perforation caused by a left ventricular assist device.
This case report describes a rare complication of a left ventricular assist device (LVAD). A patient with ischemic cardiomyopathy had an LVAD placed due to intractable congestive heart failure following a large anterior myocardial infarction. The patient developed chronic bacteremia and multiple septic episodes. A gastric endoscopy revealed perforation of the anterior wall of the stomach by the LVAD. Gastric acid related erosions were present on the metallic surface suggesting prolonged exposure. This is the second case report of this rare complication and the first case report of a subacute course.
Yannopoulos
Demetris
D
Division of Cardiology, University of Minnesota, MN, Mail Code 508, 420 Delaware St, SE Minneapolis, MN 55455, United States. yanno001@umn.edu
D006353:Heart-Assist Devices / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000293:injuries*; D014057:Tomography, X-Ray Computed