High-risk coronary intervention with a percutaneous ventricular assist device in the presence of an unstable left ventricular thrombus.
Left ventricular (LV) thrombus is one of the most common complications of myocardial infarction (MI). Contemporary devices for mechanical support during high-risk percutaneous coronary intervention (PCI) include intra-aortic balloon pumps (IABPs) or percutaneous left ventricular assist devices (pVADs). We describe the case of an elderly patient presenting with critical double-vessel disease, severely depressed LV function, and a large LV thrombus in the setting of a mechanical fall causing spinal cord compression. In this report, we describe the use of a TandemHeart pVAD during high-risk PCI in the presence of an unstable LV thrombus.
Kapur
Navin K
NK
Tufts Medical Center, Division of Cardiology, 800 Washington Street, Box No. 80, Boston, MA 02111, USA. nkapur@tuftsmedicalcenter.org
Pan
Chris
C
Krishnamurthy
Barath
B
D000058:Accidental Falls; D000369:Aged, 80 and over; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications*; D012307:Risk Factors; D013117:Spinal Cord Compression / Q000209:etiology; D013927:Thrombosis / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000209:etiology* / Q000628:therapy*