title: High-risk coronary intervention with a percutaneous ventricular assist device in the presence of an unstable left ventricular thrombus.
abstract: 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.
authors.affiliation: Tufts Medical Center, Division of Cardiology, 800 Washington Street, Box No. 80, Boston, MA 02111, USA. nkapur@tuftsmedicalcenter.org
authors.forename: Navin K
authors.initials: NK
authors.lastname: Kapur
authors.forename: Chris
authors.initials: C
authors.lastname: Pan
authors.forename: Barath
authors.initials: B
authors.lastname: Krishnamurthy
mesh_terms: 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*