Biventricular assist device implantation as bridge to heart transplantation concomitant with open repair of infrarenal aortic aneurysm.
Abdominal aortic aneurysm (AAA) is very frequently accompanied by coronary artery disease. Myocardial ischemia is the leading cause of mortality and morbidity in AAA repair. Therapeutic strategy, in presence of ischemic heart failure and AAA, is not well established. Actually, AAA is considered as a contraindication to ventricular assist device (VAD) support. We report a unique case of concomitant open AAA repair and biVAD implantation in a patient with severe ischemic heart failure. This case argues that AAA should no longer be considered a contraindication for VAD implantation, provided the AAA repair is made before or simultaneously with device placement.
Kindo
Michel
M
Department of Cardiovascular Surgery, Hôpitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, BP 426, 67091 Strasbourg Cedex, France. michel.kindo@chru-strasbourg.fr
Carranza
Diego
D
Eisenmann
Bernard
B
Mazzucotelli
Jean-Philippe
JP
D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D011859:Radiography; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome