Laparoscopic approach for urgent abdominal surgery in patients with left ventricular assist devices.
Despite the fact that the rate of surgical complications mainly related to the necessary anticoagulation has been reported to be significant in patients supported by ventricular assist devices (VADs) who underwent noncardiac surgery, we report two cases showing that adequate peri-operative management of medical therapy and utilization of mini-invasive surgical approaches (i.e. laparoscopy) may limit the risks of morbidity, especially when surgery is required on an urgent basis.
Livi
Ugolino
U
Department of Cardiopulmonary Sciences, Azienda Ospedaliero-Universitaria S Maria della Misericordia, Udine, Italy. chircardio@aoud.sanita.fvg.it
Guzzi
Giorgio
G
Tursi
Vincenzo
V
Martinez
Blanca
B
Albanese
Maria Cecilia
MC
Corno
Chiara
C
Badano
Luigi P
LP
D000005:Abdomen / Q000601:surgery; D042101:Acalculous Cholecystitis / Q000601:surgery*; D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D006333:Heart Failure / Q000628:therapy; D006353:Heart-Assist Devices; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D012770:Shock, Cardiogenic / Q000628:therapy; D016896:Treatment Outcome
D000925:Anticoagulants