title: Surgical management of unusual gastrointestinal bleeding and a left ventricular assist device.
abstract: There is growing evidence that patients treated with continuous flow ventricular assist devices are at increased risk for bleeding complications beyond what would be expected for those requiring anti-coagulation therapy. However, the management of these patients is typically medical. We present a case of unusual gastrointestinal bleeding successfully managed with surgical intervention in a patient with a Heartmate II ventricular assist device.
authors.affiliation: Department of General Surgery, The Ohio State University Medical Center, Columbus, OH 43210, USA.
authors.forename: Vance
authors.initials: V
authors.lastname: Smith
authors.forename: Benjamin
authors.initials: B
authors.lastname: Sun
authors.forename: David
authors.initials: D
authors.lastname: Lindsey
authors.forename: Michael S
authors.initials: MS
authors.lastname: Firstenberg
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects; D009202:Cardiomyopathies / Q000150:complications / Q000628:therapy*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006489:Hemostatic Techniques; D006801:Humans; D008026:Ligation; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013276:Stomach Ulcer / Q000150:complications / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants